Active NPI
Rene H Gifford, PHD
- Audiologist
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 6375
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201344190A | Medicaid | OK |
Other names 1
- Rene H Headrick
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6375 | OK | MD | Professional Counselor |
| 1603 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hearts for Hearing Foundation | Audiologist | Current | Accepting new patients |
| Integris Ambulatory Care Corporation | Current | 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.
-
- Hearing and Speech Clinic/Center
- Oklahoma City, OK
- NPI 1215006150
Audiologist
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1750333936
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.