Individual provider Active NPI

Ansley Lauren Davies

  • Speech-Language Pathologist
  • Oklahoma City, OK
National Provider Identifier
1619666427
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
6295 Issued in OK
Practice address
2401 NW 23Rd St Ste 2D
Oklahoma City, OK 73107-2420
Phone
(405) 355-3239
NPI assigned
May 8, 2023
Last updated
Aug 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X
Speech-Language Pathologist 235Z00000X 6295 OK Primary

Addresses

Primary practice location

2401 NW 23Rd St Ste 2D
Oklahoma City, OK 73107-2420

Mailing address

4808 Deerfield Dr
Edmond, OK 73034-0885
Phone (404) 268-0220

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

State licenses

LicenseStateTypeSpecialty
6295OKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bilingual Pediatric Therapies, Inc. CurrentSince Aug 13, 2023 Accepting new patients
Shepherd Mall Therapy LLC PastSince May 14, 2023 Accepting new patients
Bilingual Pediatric Therapies Speech-Language Pathologist PastSince Aug 1, 2023 Accepting new patients
Walnut Behavioral Therapy LLC PastSince Oct 6, 2024 Accepting new patients

Locations

2401 NW 23rd St
Ste 2D
Oklahoma City, OK 73107
Phone (323) 940-5355

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1619666427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4808 DEERFIELD DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730340885",
            "telephone_number": "404-268-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 NW 23RD ST STE 2D",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731072420",
            "telephone_number": "405-355-3239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIES",
        "first_name": "ANSLEY",
        "middle_name": "LAUREN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-08",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "6295",
            "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 Aug 13, 2024; 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.