Organization Active NPI

D L Severson, Speech Pathologist, PLLC

  • Speech-Language Pathologist
  • Bartlesville, OK
National Provider Identifier
1457611394
Registry record updated May 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2561 Issued in OK
Legal business name
D L SEVERSON, SPEECH PATHOLOGIST, PLLC
Practice address
5204 Jacquelyn LN
Bartlesville, OK 74006-7733
Phone
(918) 766-3383
NPI assigned
May 25, 2012
Last updated
May 25, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2012

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

Authorized official

Name
Ms. Deanna Lynn Severson, CCC-SLPNPI 1215168570
Title
Owner, Speech Pathologist
Phone
(918) 766-3383

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2561 OK Primary

Addresses

Primary practice location

5204 Jacquelyn LN
Bartlesville, OK 74006-7733

Mailing address

1430 Harris Dr
Bartlesville, OK 74006-5417
Phone (918) 766-3383

Other identifiers 1

IdentifierTypeStateIssuer
1215168570MedicaidOK

National Provider Directory

National Provider Directory

Locations

5204 Jacquelyn Ln
Bartlesville, OK 74006
Phone (918) 766-3383

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1337904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337904000000",
    "number": "1457611394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 HARRIS DR",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740065417",
            "telephone_number": "918-766-3383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5204 JACQUELYN LN",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740067733",
            "telephone_number": "918-766-3383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D L SEVERSON, SPEECH PATHOLOGIST, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-25",
        "last_updated": "2012-05-25",
        "status": "A",
        "authorized_official_last_name": "SEVERSON",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER, SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "918-766-3383",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "2561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1215168570",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlesville, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2012; 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.