Individual provider Active NPI

Rene H Gifford, PHD

  • Audiologist
  • Oklahoma City, OK
National Provider Identifier
1609942796
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
6375 Issued in OK
Practice address
11500 N Portland Ave
Oklahoma City, OK 73120-4625
Phone
(405) 548-4300
Fax
(405) 548-4350
NPI assigned
Nov 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 6375 OK Primary

Addresses

Primary practice location

11500 N Portland Ave
Oklahoma City, OK 73120-4625

Mailing address

11500 N Portland Ave
Oklahoma City, OK 73120-4625
Phone (405) 548-4300

Other practice location 1

8125 E 101st St Ste 50
Tulsa, OK 74133-7245
Phone (918) 392-7600

Other practice location 2

2272 36th Ave NW Ste 200
Norman, OK 73072-3251
Phone (405) 767-4200

Other practice location 3

5717 Pecan Grove Pl
Edmond, OK 73034-1039
Phone (615) 509-8435

Other identifiers 1

IdentifierTypeStateIssuer
201344190AMedicaidOK

Other names 1

  • Rene H Headrick Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250401001887 OK Practitioner - Qualified Audiologist 9739282781 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hearts for Hearing FoundationGroup PAC ID 8820195399, 28 clinicians

Practice addresses (Care Compare)

11500 N Portland Ave
Oklahoma City, OK 73120-4625
Phone (405) 548-4300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6375OKMDProfessional Counselor
1603TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Hearts for Hearing Foundation Audiologist CurrentSince Jan 19, 2025 Accepting new patients
Integris Ambulatory Care Corporation CurrentSince Oct 1, 2025 Accepting new patients

Locations

2272 36th Ave NW
#200
Norman, OK 73072
Phone (405) 767-4200

11500 N Portland Ave
Oklahoma City, OK 73120
Phone (405) 548-4300

3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589

8125 E 101st St
Ste 50
Tulsa, OK 74133
Phone (918) 392-7600

1608 Professional Cir
Yukon, OK 73099
Phone (405) 354-2118

Organizations & group practices 2

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": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1609942796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11500 N PORTLAND AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731204625",
            "telephone_number": "405-548-4300",
            "fax_number": "405-548-4350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11500 N PORTLAND AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731204625",
            "telephone_number": "405-548-4300",
            "fax_number": "405-548-4350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8125 E 101st St Ste 50",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741337245",
            "country_code": "US",
            "telephone_number": "918-392-7600",
            "fax_number": "405-548-4350",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2272 36th Ave NW Ste 200",
            "address_purpose": "LOCATION",
            "city": "Norman",
            "state": "OK",
            "postal_code": "730723251",
            "country_code": "US",
            "telephone_number": "405-767-4200",
            "fax_number": "405-548-4350",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5717 Pecan Grove Pl",
            "address_purpose": "LOCATION",
            "city": "Edmond",
            "state": "OK",
            "postal_code": "730341039",
            "country_code": "US",
            "telephone_number": "615-509-8435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIFFORD",
        "first_name": "RENE",
        "middle_name": "H",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OK",
            "license": "6375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201344190A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENE",
            "last_name": "HEADRICK",
            "middle_name": "H",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jun 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.