Active NPI
Holly Hunzicker, M.S. CC-SLP
- Speech-Language Pathologist
- Tulsa, OK
National Provider Identifier
1386392017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2633
- Practice address
- 4519 S 173Rd East Ave
Tulsa, OK 74134-7357 - Phone
- (918) 216-9303
- Fax
- (539) 202-5007
- NPI assigned
- Mar 11, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2633 | OK | Primary |
Addresses
Primary practice location
4519 S 173Rd East Ave
Tulsa, OK 74134-7357
Mailing address
4516 S 173Rd East Ave
Tulsa, OK 74134-7358
Phone (918) 671-7209
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2633 | OK | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646956800000",
"number": "1386392017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4516 S 173RD EAST AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741347358",
"telephone_number": "918-671-7209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4519 S 173RD EAST AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741347357",
"telephone_number": "918-216-9303",
"fax_number": "539-202-5007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUNZICKER",
"first_name": "HOLLY",
"credential": "M.S. CC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-11",
"last_updated": "2022-03-11",
"certification_date": "2022-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OK",
"license": "2633",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.