Northeastern Speech Therapy, PLLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3626 Issued in OK

Legal business name

NORTHEASTERN SPEECH THERAPY, PLLC

Practice address

18771 S 525 Rd
Tahlequah, OK 74464-0518

Phone

(918) 931-8941

NPI assigned

Jun 22, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Chelsea Renee Poteete, M.A., CCC-SLP

Title

Speech-Language Pathologist

Phone

(918) 931-8941

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340323200000",
    "number": "1548523673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1612",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744651612",
            "telephone_number": "918-931-8941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18771 S 525 RD",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744640518",
            "telephone_number": "918-931-8941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEASTERN SPEECH THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-22",
        "last_updated": "2012-06-22",
        "status": "A",
        "authorized_official_last_name": "POTEETE",
        "authorized_official_first_name": "CHELSEA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "918-931-8941",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "3626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200285740",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northeastern Oklahoma Community Health Centers, Inc.
• Northeastern Oklahoma Community Health Centers, Inc.
• Northeastern Oklahoma Community Health Centers, Inc.
• Northeastern Physical Rehab
• Northeastern Physical Rehab, Inc.
• Northeastern State University
• Northeastern State University College of Optometry
• Northeastern State University College of Optometry
• Nicholas Novak, CRNA
• Gregory J O'Brien, O.D.

• Speech-Language Pathologist in Tahlequah, OK
• Providers in Tahlequah, 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 Jun 22, 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.