Active NPI
Amber Dawn McGuire
- Speech-Language Pathologist
- Bristow, OK
National Provider Identifier
1699330142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 5136
- Practice address
- 420 N Main St
Bristow, OK 74010-2015 - Phone
- (918) 367-5555
- NPI assigned
- May 9, 2019
- Last updated
- May 9, 2019
- Sex
- Female
- Sole proprietor
- No
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 | 5136 | OK | Primary |
Addresses
Primary practice location
420 N Main St
Bristow, OK 74010-2015
Mailing address
420 N Main St
Bristow, OK 74010-2015
Phone (918) 367-5555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5136 | OK | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cleveland Area Hospital Holdings, Inc. | Current | Accepting new patients | |
| Cleveland Area Hospital Holdings, Inc. | Current | Accepting new patients | |
| Bristow Public Schools | Past | Accepting new patients |
Locations
1401 W Pawnee St
Cleveland, OK 74020
Phone (918) 358-2501
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Cleveland Area Hospital Professional Services
- Emergency Medical Services (Emergency Medicine) Physician
- Cleveland, OK
- NPI 1801020565
-
dba Lake Area Medical Associates
- Rural Health Clinic/Center
- Cleveland, OK
- NPI 1588160774
-
- Public Health or Welfare Agency
- Bristow, OK
- NPI 1992998744
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557360000000",
"number": "1699330142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 N MAIN ST",
"city": "BRISTOW",
"state": "OK",
"postal_code": "740102015",
"telephone_number": "918-367-5555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 N MAIN ST",
"city": "BRISTOW",
"state": "OK",
"postal_code": "740102015",
"telephone_number": "918-367-5555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGUIRE",
"first_name": "AMBER",
"middle_name": "DAWN",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-09",
"last_updated": "2019-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OK",
"license": "5136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bristow, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.