Active NPI
Alyssa Dake, M.S., CCC-SLP
- Speech-Language Pathologist
- Claremore, OK
National Provider Identifier
1417540451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 1110 W Will Rogers Blvd
Claremore, OK 74017-5421 - Phone
- (918) 341-4343
- NPI assigned
- Feb 19, 2021
- 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 | Primary |
Addresses
Primary practice location
1110 W Will Rogers Blvd
Claremore, OK 74017-5421
Mailing address
1110 W Will Rogers Blvd
Claremore, OK 74017-5421
Phone (918) 341-4343
Other practice location 1
6905 NW 122nd St
Oklahoma City, OK 73142-3903
Phone (405) 603-6622
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)
- Not enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Speech Pathway LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Elevate Pediatric Therapies PC | Speech-Language Pathologist | Past | Accepting new patients |
| Speech Pathways, PLLC | Past | Accepting new patients |
Locations
6905 NW 122nd St
Oklahoma City, OK 73142
Phone (405) 276-2888
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Speech-Language Pathologist
- Oklahoma City, OK
- NPI 1659637148
-
- Physical Therapist
- Claremore, OK
- NPI 1669703690
Speech-Language Pathologist
-
- Rehabilitation Clinic/Center
- Ardmore, OK
- NPI 1053361741
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722470400000",
"number": "1417540451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1110 W WILL ROGERS BLVD",
"city": "CLAREMORE",
"state": "OK",
"postal_code": "740175421",
"telephone_number": "918-341-4343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 W WILL ROGERS BLVD",
"city": "CLAREMORE",
"state": "OK",
"postal_code": "740175421",
"telephone_number": "918-341-4343"
}
],
"practiceLocations": [
{
"address_1": "6905 NW 122nd St",
"address_purpose": "LOCATION",
"city": "Oklahoma City",
"state": "OK",
"postal_code": "731423903",
"country_code": "US",
"telephone_number": "405-603-6622",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAKE",
"first_name": "ALYSSA",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-19",
"last_updated": "2024-08-01",
"certification_date": "2024-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Claremore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.