Individual provider Active NPI

Vivian Freeman, CCC-SLP

  • Speech-Language Pathologist
  • Altus, OK
National Provider Identifier
1548164395
Registry record updated Oct 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
6520 Issued in OK
Practice address
1100 N Forrest St
Altus, OK 73521-2731
Phone
(580) 649-2925
NPI assigned
Oct 6, 2026
Last updated
Oct 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2026

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 6520 OK Primary

Addresses

Primary practice location

1100 N Forrest St
Altus, OK 73521-2731

Mailing address

27558 N County Road 1990
Granite, OK 73547-5294
Phone (580) 649-2925

Other practice location 1

321 N Jefferson St
Hobart, OK 73651-2031
Phone (580) 649-2925

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1791244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791244800000",
    "number": "1548164395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27558 N COUNTY ROAD 1990",
            "city": "GRANITE",
            "state": "OK",
            "postal_code": "735475294",
            "telephone_number": "580-649-2925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N FORREST ST",
            "city": "ALTUS",
            "state": "OK",
            "postal_code": "735212731",
            "telephone_number": "580-649-2925"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "321 N Jefferson St",
            "address_purpose": "LOCATION",
            "city": "Hobart",
            "state": "OK",
            "postal_code": "736512031",
            "country_code": "US",
            "telephone_number": "580-649-2925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "VIVIAN",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-10-06",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "6520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altus, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.