NPIMap

Organization Active NPI

Idwi, Inc

  • Speech-Language Pathologist
  • Wilburton, OK
National Provider Identifier
1679738082
Registry record updated Oct 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
IDWI, INC
Practice address
2864 SW Limestone Rd
Wilburton, OK 74578-6843
Phone
(918) 637-5114
Fax
(918) 465-3095
NPI assigned
Jul 24, 2008
Last updated
Oct 5, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2009

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

Authorized official

Name
Joe'L Edington Farrar, SLPNPI 1629242243
Title
Pres
Phone
(918) 637-5114

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 NU Primary

Addresses

Primary practice location

2864 SW Limestone Rd
Wilburton, OK 74578-6843

Mailing address

2864 SW Limestone Rd
Wilburton, OK 74578-6843
Phone (918) 637-7912

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": "1216857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254700800000",
    "number": "1679738082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2864 SW LIMESTONE RD",
            "city": "WILBURTON",
            "state": "OK",
            "postal_code": "745786843",
            "telephone_number": "918-637-7912",
            "fax_number": "918-465-3095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2864 SW LIMESTONE RD",
            "city": "WILBURTON",
            "state": "OK",
            "postal_code": "745786843",
            "telephone_number": "918-637-5114",
            "fax_number": "918-465-3095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDWI, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-24",
        "last_updated": "2009-10-05",
        "status": "A",
        "authorized_official_last_name": "FARRAR",
        "authorized_official_first_name": "JOE'L",
        "authorized_official_middle_name": "EDINGTON",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "918-637-5114",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilburton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2009; 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.