Individual provider Active NPI

Hanna J Roberts, MS, CCC-SLP

  • Speech-Language Pathologist
  • Tulsa, OK
National Provider Identifier
1679368930
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
6407 Issued in OK
Practice address
2121 S Columbia Ave Ste 501
Tulsa, OK 74114-3513
Phone
(918) 928-4700
NPI assigned
Apr 9, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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 6407 OK Primary

Addresses

Primary practice location

2121 S Columbia Ave Ste 501
Tulsa, OK 74114-3513

Mailing address

2121 S Columbia Ave Ste 501
Tulsa, OK 74114-3513
Phone (918) 928-4700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250416001276 OK Practitioner - Qualified Speech Language Pathologist 5395260905 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Swallowing and Neurological Rehabilitation, LLCGroup PAC ID 5698907046, 3 clinicians

Practice addresses (Care Compare)

2121 S Columbia Ave
Suite 470
Tulsa, OK 74114-3518
Phone (918) 928-4700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Swallowing and Neurological Rehabilitation, LLC CurrentSince Apr 9, 2025 Accepting new patients

Locations

2121 S Columbia Ave
Ste 501
Tulsa, OK 74114
Phone (918) 615-4015

2121 S Columbia Ave
Ste 470
Tulsa, OK 74114
Phone (918) 928-4700

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": "1744156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1679368930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 S COLUMBIA AVE STE 501",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741143513",
            "telephone_number": "918-928-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 S COLUMBIA AVE STE 501",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741143513",
            "telephone_number": "918-928-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "HANNA",
        "middle_name": "J",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-09",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "6407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.