Active NPI
Desirae Webb, AUD
- Audiologist
- Tulsa, OK
National Provider Identifier
1558801654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 5455
- Practice address
- 5020 E. 68TH Street
Tulsa, OK 74136-3356 - Phone
- (918) 492-3636
- Fax
- (918) 494-8915
- NPI assigned
- Mar 8, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 5455 | OK | Primary |
Addresses
Primary practice location
5020 E. 68TH Street
Tulsa, OK 74136-3356
Mailing address
5020 E. 68TH Street
Tulsa, OK 74136-3356
Phone (918) 492-3636
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4554 | OK | MD | Emergency Medicine Physician |
| 5455 | OK | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488931200000",
"number": "1558801654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5020 E. 68TH STREET",
"city": "TULSA",
"state": "OK",
"postal_code": "741363356",
"telephone_number": "918-492-3636",
"fax_number": "918-494-8915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5020 E. 68TH STREET",
"city": "TULSA",
"state": "OK",
"postal_code": "741363356",
"telephone_number": "918-492-3636",
"fax_number": "918-494-8915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBB",
"first_name": "DESIRAE",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-08",
"last_updated": "2017-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "OK",
"license": "5455",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.