Active NPI
Jhaylin Mary Elizabeth Le Blanc
- Speech-Language Assistant
- Oklahoma City, OK
National Provider Identifier
1447011317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- SLPA352
- 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
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 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
| License | State | Type | Specialty |
|---|---|---|---|
| SLPA352 | OK | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aky MD, LLC | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Pediatrics Physician
- Moore, OK
- NPI 1063846699
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.