Active NPI
Yunjiang Huang
- Speech-Language Pathologist
- Muskogee, OK
National Provider Identifier
1457080962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- CF455
- Practice address
- 611 S County Club Rd
Muskogee, OK 74403 - Phone
- (918) 718-4421
- NPI assigned
- Jun 9, 2022
- Sex
- Male
- 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 | CF455 | OK | Primary |
Addresses
Primary practice location
611 S County Club Rd
Muskogee, OK 74403
Mailing address
1145 N Cedar Ave Apt 52
Tahlequah, OK 74464-7141
Phone (918) 718-4421
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CF455 | OK | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654732800000",
"number": "1457080962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1145 N CEDAR AVE APT 52",
"city": "TAHLEQUAH",
"state": "OK",
"postal_code": "744647141",
"telephone_number": "918-718-4421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 S COUNTY CLUB RD",
"city": "MUSKOGEE",
"state": "OK",
"postal_code": "74403",
"telephone_number": "918-718-4421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUANG",
"first_name": "YUNJIANG",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-09",
"last_updated": "2022-06-09",
"certification_date": "2022-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OK",
"license": "CF455",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Muskogee, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.