Active NPI
Shelly Deann Geddes, M.S.
- Speech-Language Pathologist
- Norman, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 3288
- Practice address
- 4331 Adams Rd Ste 111
Norman, OK 73069-1007 - Phone
- (405) 438-0090
- Fax
- (405) 493-0717
- NPI assigned
- May 21, 2007
- 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 | 3288 | OK | Primary |
Addresses
Primary practice location
4331 Adams Rd Ste 111
Norman, OK 73069-1007
Mailing address
1810 Marymount Rd
Norman, OK 73071-3948
Phone (405) 990-9417
Other practice location 1
929 E Britton Rd
Oklahoma City, OK 73114-7802
Phone (405) 438-0090
Other practice location 2
9900 Broadway Ext Ste 200
Oklahoma City, OK 73114-6323
Phone (405) 438-0090
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200114180 | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3288 | OK | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Communication Solutions, Inc | Speech-Language Pathologist | Current | Accepting new patients |
Locations
2761 Washington Dr
Ste 111
Norman, OK 73069
Phone (405) 438-0090
4331 Adams Rd
#111
Norman, OK 73069
Phone (405) 438-0090
929 E Britton Rd
Oklahoma City, OK 73114
Phone (405) 438-0090
9900 Broadway Ext
Ste 200
Oklahoma City, OK 73114
Phone (405) 608-8833
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.
-
- Speech-Language Pathologist
- Norman, OK
- NPI 1265934160
-
dba Allied Health Clinics
- Rehabilitation Clinic/Center
- Oklahoma City, OK
- NPI 1740389626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713916800000",
"number": "1659580512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1810 MARYMOUNT RD",
"city": "NORMAN",
"state": "OK",
"postal_code": "730713948",
"telephone_number": "405-990-9417",
"fax_number": "405-493-0717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4331 ADAMS RD STE 111",
"city": "NORMAN",
"state": "OK",
"postal_code": "730691007",
"telephone_number": "405-438-0090",
"fax_number": "405-493-0717"
}
],
"practiceLocations": [
{
"address_1": "929 E Britton Rd",
"address_purpose": "LOCATION",
"city": "Oklahoma City",
"state": "OK",
"postal_code": "731147802",
"country_code": "US",
"telephone_number": "405-438-0090",
"fax_number": "405-493-0717",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9900 Broadway Ext Ste 200",
"address_purpose": "LOCATION",
"city": "Oklahoma City",
"state": "OK",
"postal_code": "731146323",
"country_code": "US",
"telephone_number": "405-438-0090",
"fax_number": "405-493-0717",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GEDDES",
"first_name": "SHELLY",
"middle_name": "DEANN",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-21",
"last_updated": "2024-04-24",
"certification_date": "2024-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OK",
"license": "3288",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200114180",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norman, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.