Individual provider Active NPI

Tiffany Sybille Turner, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Skiatook, OK
National Provider Identifier
1508280413
Registry record updated May 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4027 Issued in OK
Practice address
3920 E 142ND PL N
Skiatook, OK 74070
Phone
(918) 693-8433
NPI assigned
Feb 12, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 4027 OK Primary

Addresses

Primary practice location

3920 E 142ND PL N
Skiatook, OK 74070

Mailing address

3920 E 142ND PL N
Skiatook, OK 74070
Phone (918) 693-8433

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140417000804 OK Practitioner - Qualified Speech Language Pathologist 8123250578 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
4027OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Swallowing and Neurological Rehabilitation, LLC CurrentSince Mar 1, 2014 Accepting new patients

Locations

2121 S Columbia Ave
Ste 501
Tulsa, OK 74114
Phone (918) 615-4015

2121 S Columbia Ave
Ste 470
Tulsa, OK 74114
Phone (918) 928-4700

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1392163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430697600000",
    "number": "1508280413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 E 142ND PL N",
            "city": "SKIATOOK",
            "state": "OK",
            "postal_code": "74070",
            "telephone_number": "918-693-8433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 E 142ND PL N",
            "city": "SKIATOOK",
            "state": "OK",
            "postal_code": "74070",
            "telephone_number": "918-693-8433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURNER",
        "first_name": "TIFFANY",
        "middle_name": "SYBILLE",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-12",
        "last_updated": "2015-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "4027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skiatook, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2015; 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.