Katie Michele Wiedemann

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

1824 Commons Cir Ste B
Yukon, OK 73099-9538

Phone

(405) 467-6782

NPI assigned

Jun 21, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Complete Rehab, LLC

  dba Oklahoma Pediatric Therapy Center

  • Rehabilitation Clinic/Center
  • Yukon, OK
  • NPI 1497178156

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1487223855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2416 NW 196TH TER",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730123631",
            "telephone_number": "405-476-8284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1824 COMMONS CIR STE B",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730999538",
            "telephone_number": "405-467-6782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEDEMANN",
        "first_name": "KATIE",
        "middle_name": "MICHELE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-21",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Where the Wild Things Are PLLC
• Lexus Gabrielle White I, MSW LISW-CP
• Renee White
• Deanna Whittle, PT
• Melissa Nicole Wicks, PHARMD
• Aaron Patrick Wilbanks, D.O.
• Jennifer Lynn Wiley
• Ryan Wilkinson
• Rebecca Willard
• Abigail Williams

• Speech-Language Pathologist in Yukon, OK
• Providers in Yukon, 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, 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.

Verify at the official NPI Registry.