Heather Lynn Sample Gosse, PH.D. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3349 Issued in OK

Practice address

825 NE 14TH Street
John W Keys Speech and Hearing Center
Oklahoma City, OK 73104-4649

Phone

(405) 271-4214

Fax

(405) 271-3360

NPI assigned

Mar 18, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Heather Lynn Sample Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205798400000",
    "number": "1376714337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 NE 14TH STREET",
            "address_2": "JOHN W KEYS SPEECH AND HEARING CENTER",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731044649",
            "telephone_number": "405-271-4214",
            "fax_number": "405-271-3360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 NE 14TH STREET",
            "address_2": "JOHN W KEYS SPEECH AND HEARING CENTER",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731044649",
            "telephone_number": "405-271-4214",
            "fax_number": "405-271-3360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMPLE GOSSE",
        "first_name": "HEATHER",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "PH.D. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-18",
        "last_updated": "2008-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "3349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "SAMPLE",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sami S Dahr MD PLLC
• Lloyd David Samilton Jr., BS
• Danny Samkutty, M.D.
• Ali Sammour, DDS
• Lana Sammur
• Matthew Clay Sample, PHARM.D.
• Terri Lynn Sample, ARNP
• Kori Chalyn Samples, B.A.
• Timothy William Sampley
• Alisha Sampson

• Speech-Language Pathologist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Speech-Language Pathologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.