Individual provider Active NPI

Gabrielle McKnight, SLP

  • Speech-Language Pathologist
  • Claremore, OK
National Provider Identifier
1679118103
Registry record updated Nov 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5149 Issued in OK
Practice address
1071 W Blue Starr Dr Ste 101
Claremore, OK 74017-2868
Phone
(918) 341-4343
Fax
(918) 341-8687
NPI assigned
Nov 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 5149 OK Primary

Addresses

Primary practice location

1071 W Blue Starr Dr Ste 101
Claremore, OK 74017-2868

Mailing address

1071 W Blue Starr Dr Ste 101
Claremore, OK 74017-2868
Phone (918) 341-4343

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

LicenseStateTypeSpecialty
5149OKMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Elevate Pediatric Therapies PC Speech-Language Pathologist CurrentSince May 1, 2022 Accepting new patients

Locations

1071 W Blue Starr Dr
Ste 101
Claremore, OK 74017
Phone (918) 341-4343

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1573084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573084800000",
    "number": "1679118103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1071 W BLUE STARR DR STE 101",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740172868",
            "telephone_number": "918-341-4343",
            "fax_number": "918-341-8687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1071 W BLUE STARR DR STE 101",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740172868",
            "telephone_number": "918-341-4343",
            "fax_number": "918-341-8687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKNIGHT",
        "first_name": "GABRIELLE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-07",
        "last_updated": "2019-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "5149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Claremore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; 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.