Active NPI
Kerry Lorraine Fox, SLP
- Speech-Language Pathologist
- Tulsa, OK
National Provider Identifier
1588925275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 3834
- Practice address
- 4415 S Harvard Ave Ste 125
Tulsa, OK 74135-9700 - Phone
- (918) 508-7601
- Fax
- (918) 508-7602
- NPI assigned
- May 30, 2012
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 3834 | OK | Primary |
Addresses
Primary practice location
4415 S Harvard Ave Ste 125
Tulsa, OK 74135-9700
Mailing address
4415 S Harvard Ave Ste 125
Tulsa, OK 74135-9700
Phone (918) 508-7601
Other names 1
- Kerry Lorraine Nelson
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 |
|---|---|---|---|
| 3834 | OK | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Freedom Hearing | Speech-Language Pathologist | Past | Accepting new patients |
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": "1338336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338336000000",
"number": "1588925275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4415 S HARVARD AVE STE 125",
"city": "TULSA",
"state": "OK",
"postal_code": "741359700",
"telephone_number": "918-508-7601",
"fax_number": "918-508-7602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4415 S HARVARD AVE STE 125",
"city": "TULSA",
"state": "OK",
"postal_code": "741359700",
"telephone_number": "918-508-7601",
"fax_number": "918-508-7602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOX",
"first_name": "KERRY",
"middle_name": "LORRAINE",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-30",
"last_updated": "2012-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OK",
"license": "3834",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KERRY",
"last_name": "NELSON",
"middle_name": "LORRAINE",
"code": "1",
"type": "Former Name"
}
]
}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 May 30, 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.