NPIMap

Destany M Barger, SLPA

Individual provider Active NPI Speech-Language Assistant · Moore, OK

NPI 1417795808 · NPPES record last updated Jul 18, 2024

Key facts

NPI
1417795808
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Assistant 2355S0801X
License
SLPA370 (OK)
Practice address
1111 Magnolia CT Ste 102
Moore, OK 73160-1390
Phone
(405) 464-9595
Fax
(405) 493-6787
NPI assigned
Jul 18, 2024
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
SLPA370OKMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Aky MD, LLC Past
since Jul 21, 2024		 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.973232

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X SLPA370 OK Yes

Addresses

Primary practice location

1111 Magnolia CT Ste 102
Moore, OK 73160-1390

Mailing address

PO Box 891267
Oklahoma City, OK 73189-1267
Phone (405) 464-9595

Other providers in Moore, OK

All providers in Moore, OK · Speech-Language Assistant in Oklahoma

Sources for this page

Verify at the official NPI Registry.