Active NPI
Dana Gudgel, M.A.
- Speech-Language Pathologist
- Tulsa, OK
National Provider Identifier
1457518797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 3708
- Practice address
- 4629 S Harvard Ave Ste a
Tulsa, OK 74135-2946 - Phone
- (918) 698-5561
- Fax
- (918) 398-7983
- NPI assigned
- May 22, 2008
- 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 | 3708 | OK | Primary |
Addresses
Primary practice location
4629 S Harvard Ave Ste a
Tulsa, OK 74135-2946
Mailing address
4629 S Harvard Ave Ste a
Tulsa, OK 74135-2946
Phone (918) 698-5561
Other practice location 1
6161 S 33rd West Ave
Suite 105
Tulsa, OK 74132-1527
Phone (918) 698-5561
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3708 | OK | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1457518797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4629 S HARVARD AVE STE A",
"city": "TULSA",
"state": "OK",
"postal_code": "741352946",
"telephone_number": "918-698-5561",
"fax_number": "918-398-7983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4629 S HARVARD AVE STE A",
"city": "TULSA",
"state": "OK",
"postal_code": "741352946",
"telephone_number": "918-698-5561",
"fax_number": "918-398-7983"
}
],
"practiceLocations": [
{
"address_1": "6161 S 33rd West Ave",
"address_2": "Suite 105",
"address_purpose": "LOCATION",
"city": "Tulsa",
"state": "OK",
"postal_code": "741321527",
"country_code": "US",
"telephone_number": "918-698-5561",
"fax_number": "918-398-7983",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUDGEL",
"first_name": "DANA",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-22",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OK",
"license": "3708",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.