Individual provider Active NPI

Tiffany Brooke Roberts Hiner, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Stillwater, OK
National Provider Identifier
1639462633
Registry record updated Oct 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3191 Issued in OK
Practice address
814 S Walnut St
Stillwater, OK 74074-4225
Phone
(405) 377-8255
Fax
(405) 377-8255
NPI assigned
May 24, 2011
Last updated
Oct 28, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 3191 OK Primary

Addresses

Primary practice location

814 S Walnut St
Stillwater, OK 74074-4225

Mailing address

2105 S 22ND CT
Stillwater, OK 74074-1737
Phone (405) 880-0817

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
3191OKMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dysphagia Specialists, PLLC Speech-Language Pathologist Past Accepting new patients
Stillwater Speech-Language Services Speech-Language Pathologist Past Accepting new patients

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, 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": "1306195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319760000000",
    "number": "1639462633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 S 22ND CT",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740741737",
            "telephone_number": "405-880-0817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 S WALNUT ST",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740744225",
            "telephone_number": "405-377-8255",
            "fax_number": "405-377-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS HINER",
        "first_name": "TIFFANY",
        "middle_name": "BROOKE",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-24",
        "last_updated": "2011-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "3191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stillwater, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2011; 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.