Active NPI
Judy D Dennis, M.S., C.C.C./SLP
- Speech-Language Pathologist
- Oklahoma City, OK
National Provider Identifier
1669476180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 104
- Practice address
- 3424 Hemlock LN
Oklahoma City, OK 73120-5602 - Phone
- (405) 755-3893
- Fax
- (405) 755-3950
- NPI assigned
- Jun 13, 2005
- Sex
- Female
- Sole proprietor
- Yes
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 | 104 | OK | Primary |
Addresses
Primary practice location
3424 Hemlock LN
Oklahoma City, OK 73120-5602
Mailing address
3424 Hemlock LN
Oklahoma City, OK 73120-5602
Phone (405) 755-3893
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002518602999 | Other | OK | BC/BS |
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104 | OK | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1669476180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3424 HEMLOCK LN",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731205602",
"telephone_number": "405-755-3893",
"fax_number": "405-755-3950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3424 HEMLOCK LN",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731205602",
"telephone_number": "405-755-3893",
"fax_number": "405-755-3950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENNIS",
"first_name": "JUDY",
"middle_name": "D",
"credential": "M.S., C.C.C./SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-06-13",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OK",
"license": "104",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "002518602999",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.