Individual provider Active NPI

Jhaylin Mary Elizabeth Le Blanc

  • Speech-Language Assistant
  • Oklahoma City, OK
National Provider Identifier
1447011317
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
SLPA352 Issued in OK
Practice address
6601 W Hefner Rd
Oklahoma City, OK 73162-4704
Phone
(405) 464-9595
NPI assigned
Jan 18, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X SLPA352 OK Primary

Addresses

Primary practice location

6601 W Hefner Rd
Oklahoma City, OK 73162-4704

Mailing address

19501 N Pennsylvania Ave Apt 1215
Edmond, OK 73012-4815
Phone (405) 920-8522

Other practice location 1

1111 Magnolia Ct Bldg 100
Moore, OK 73160-1390
Phone (405) 464-9595

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

State licenses

LicenseStateTypeSpecialty
SLPA352OKMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Aky MD, LLC Past Accepting new patients

Interoperability endpoints

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1705536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1447011317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19501 N PENNSYLVANIA AVE APT 1215",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730124815",
            "telephone_number": "405-920-8522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 W HEFNER RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731624704",
            "telephone_number": "405-464-9595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 Magnolia Ct Bldg 100",
            "address_purpose": "LOCATION",
            "city": "Moore",
            "state": "OK",
            "postal_code": "731601390",
            "country_code": "US",
            "telephone_number": "405-464-9595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LE BLANC",
        "first_name": "JHAYLIN",
        "middle_name": "MARY ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-18",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "OK",
            "license": "SLPA352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.

Verify at the official NPI Registry.