Organization Active NPI

Melissa Byrum Speech Therapy

  • Speech-Language Pathologist
  • McAlester, OK
National Provider Identifier
1659714129
Registry record updated May 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3120 Issued in OK
Legal business name
MELISSA BYRUM SPEECH THERAPY
Practice address
407 E Cherokee Ave
McAlester, OK 74501-5367
Phone
(405) 641-3534
NPI assigned
Apr 15, 2013
Last updated
May 21, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2014

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

Authorized official

Name
Melissa Byrum, MSCCC-SLPNPI 1184874000
Title
Speech Pathologist/Owner
Phone
(405) 641-3534

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 3120 OK Primary

Addresses

Primary practice location

407 E Cherokee Ave
McAlester, OK 74501-5367

Mailing address

407 E Cherokee Ave
McAlester, OK 74501-5367
Phone (405) 641-3534

Other identifiers 2

IdentifierTypeStateIssuer
200214170AMedicaidOK
1184874000OtherINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1365984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400630400000",
    "number": "1659714129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 E CHEROKEE AVE",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745015367",
            "telephone_number": "405-641-3534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 E CHEROKEE AVE",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745015367",
            "telephone_number": "405-641-3534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA BYRUM SPEECH THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-15",
        "last_updated": "2014-05-21",
        "status": "A",
        "authorized_official_last_name": "BYRUM",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST/OWNER",
        "authorized_official_telephone_number": "405-641-3534",
        "authorized_official_credential": "MSCCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "3120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200214170A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1184874000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAlester, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; 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.