Individual provider Active NPI

Christa Sheree Collins, M.S. CFY-SLP

  • Speech-Language Pathologist
  • Midwest City, OK
National Provider Identifier
1578855102
Registry record updated Sep 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3910 Issued in OK
Practice address
1620 Midtown Place
Midwest City, OK 73130-6217
Phone
(405) 397-3550
Fax
(405) 399-2350
NPI assigned
May 16, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2019

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 3910 OK Primary

Addresses

Primary practice location

1620 Midtown Place
Midwest City, OK 73130-6217

Mailing address

PO Box 15
Jones, OK 73049-0015
Phone (405) 397-3550

Other practice location 1

429 West Wilshire Blvd
Suite B
Oklahoma City, OK 73116
Phone (405) 397-3550

Other identifiers 1

IdentifierTypeStateIssuer
200438530AMedicaidOK

Other names 1

  • Miss Christa Sheree Crotts Former name

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 Science

State licenses

LicenseStateTypeSpecialty
3910OKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Okc Speech, LLC Speech-Language Pathologist CurrentSince Sep 29, 2019 Accepting new patients

Locations

9085 Harmony Dr
Midwest City, OK 73130
Phone (405) 397-3550

1620 Midtown Pl
Oklahoma City, OK 73130
Phone (405) 397-3550

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": "1305504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569542400000",
    "number": "1578855102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15",
            "city": "JONES",
            "state": "OK",
            "postal_code": "730490015",
            "telephone_number": "405-397-3550",
            "fax_number": "405-399-2350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 MIDTOWN PLACE",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731306217",
            "telephone_number": "405-397-3550",
            "fax_number": "405-399-2350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "429 West Wilshire Blvd",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "73116",
            "country_code": "US",
            "telephone_number": "405-397-3550",
            "fax_number": "405-455-6505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "CHRISTA",
        "middle_name": "SHEREE",
        "name_prefix": "Mrs.",
        "credential": "M.S. CFY-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-16",
        "last_updated": "2019-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "3910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200438530A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTA",
            "last_name": "CROTTS",
            "middle_name": "SHEREE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Midwest City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; 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.