Individual provider Active NPI

Ana Lorena Deloera-Dawson, MA CF-SLP

  • Speech-Language Pathologist
  • Oklahoma City, OK
National Provider Identifier
1568052199
Registry record updated Jan 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
CF238 Issued in OK
Practice address
4300 Highline Blvd Ste 200D
Oklahoma City, OK 73108-1843
Phone
(405) 945-0881
NPI assigned
Jan 18, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X CF238 OK Primary

Addresses

Primary practice location

4300 Highline Blvd Ste 200D
Oklahoma City, OK 73108-1843

Mailing address

413 SW 103Rd St
Oklahoma City, OK 73139-9030
Phone (405) 532-9488

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)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
CF238OKMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1610928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610928000000",
    "number": "1568052199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 SW 103RD ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731399030",
            "telephone_number": "405-532-9488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 HIGHLINE BLVD STE 200D",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731081843",
            "telephone_number": "405-945-0881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELOERA-DAWSON",
        "first_name": "ANA",
        "middle_name": "LORENA",
        "credential": "MA CF-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-18",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "CF238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; 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.