Kaitlyn D Pope, MSCCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4260 Issued in OK

Practice address

814 S Walnut St
Stillwater, OK 74074-4225

Phone

(405) 377-8255

NPI assigned

Dec 10, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dysphagia Specialists, PLLC

  • Speech-Language Pathologist
  • Stillwater, OK
  • NPI 1356746184
  Medicare reassignment NPD
• Stillwater Speech-Language Services

  • Speech-Language Pathologist
  • Stillwater, OK
  • NPI 1104269562
  NPD (past)

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

{
    "created_epoch": "1512864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1477068674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 E VIRGINIA AVE",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740757919",
            "telephone_number": "405-377-8255",
            "fax_number": "405-835-3920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 S WALNUT ST",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740744225",
            "telephone_number": "405-377-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPE",
        "first_name": "KAITLYN",
        "middle_name": "D",
        "credential": "MSCCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-10",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "4260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356746184",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany Cordray Poe, LMFT
• Charles Edwin Polk, D.D.S.
• Shyam Sunder Poludasu, M.D
• Emily D Pool
• Pope Surgical Services LLC
• Abigail Poulan, DDS
• Hannah Pouliot
• Porsha Prater
• Brittany Anne Pratt, PT, DPT
• Preferred Family Healthcare, Inc.

• Speech-Language Pathologist in Stillwater, OK
• Providers in Stillwater, OK by specialty
• Speech-Language Pathologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.