Active NPI
Kaylee Roebuck
- Speech-Language Pathologist
- Oklahoma City, OK
National Provider Identifier
1619768454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 9031 SW 29TH St
Oklahoma City, OK 73179-2818 - Phone
- (405) 464-8484
- NPI assigned
- May 13, 2025
- Sex
- Unspecified or another gender identity
- 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 | Primary |
Addresses
Primary practice location
9031 SW 29TH St
Oklahoma City, OK 73179-2818
Mailing address
14300 N Penn Ave Apt 117
Oklahoma City, OK 73134-6057
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747094400000",
"number": "1619768454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14300 N PENN AVE APT 117",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731346057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9031 SW 29TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731792818",
"telephone_number": "405-464-8484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROEBUCK",
"first_name": "KAYLEE",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2025-05-13",
"last_updated": "2025-05-13",
"certification_date": "2025-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"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 May 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.