Active NPI
Melissa Byrum Speech Therapy
- Speech-Language Pathologist
- McAlester, OK
National Provider Identifier
1659714129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 3120
- 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, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melissa Byrum, MSCCC-SLP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200214170A | Medicaid | OK | |
| 1184874000 | Other | INDIVIDUAL NPI |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Speech-Language Pathologist
- McAlester, OK
- NPI 1184874000
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
- Medical Center Pharmacy of Durant, Inc. (Advanced Care Medical Equipment)
- Medical Clinic of McAlester, LLC
- Medical Fitness Institute of Oklahoma Inc.
- Teela Dawn Meers, LMT
- Gregory Nathan Melancon
- Amanda Michelle Melton-Murray
- Jeffrey C Melton, A.R.N.P.
- Vanessa Lydia Meuniot, D.O.
- Millie S Meza, MS. LPC
- Mike Ward's Hearing Center
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.