Active NPI
Jan Oswalt, SLP
- Speech-Language Pathologist
- Jenks, OK
National Provider Identifier
1649648684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 3124
- Practice address
- 205 E B St
Jenks, OK 74037-3906 - Phone
- (918) 299-4411
- Fax
- (918) 298-6610
- NPI assigned
- Sep 8, 2015
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 3124 | OK | Primary |
Addresses
Primary practice location
205 E B St
Jenks, OK 74037-3906
Mailing address
205 E B St
Jenks, OK 74037-3906
Phone (918) 299-4411
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3124 | OK | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441843200000",
"number": "1649648684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 E B ST",
"city": "JENKS",
"state": "OK",
"postal_code": "740373906",
"telephone_number": "918-299-4411",
"fax_number": "918-298-6610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 E B ST",
"city": "JENKS",
"state": "OK",
"postal_code": "740373906",
"telephone_number": "918-299-4411",
"fax_number": "918-298-6610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSWALT",
"first_name": "JAN",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-08",
"last_updated": "2015-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OK",
"license": "3124",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jenks, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.