Active NPI
Jenifer Hopkins
- Speech-Language Pathologist
- Tahlequah, OK
National Provider Identifier
1730560863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 4072
- Practice address
- 912 S College Ave
Tahlequah, OK 74464-4726 - Phone
- (918) 456-8826
- Fax
- (918) 458-6533
- NPI assigned
- Jun 15, 2015
- 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 | 4072 | OK | Primary |
Addresses
Primary practice location
912 S College Ave
Tahlequah, OK 74464-4726
Mailing address
912 S College Ave
Tahlequah, OK 74464-4726
Phone (918) 456-8826
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4072 | OK | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491350400000",
"number": "1730560863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "912 S COLLEGE AVE",
"city": "TAHLEQUAH",
"state": "OK",
"postal_code": "744644726",
"telephone_number": "918-456-8826",
"fax_number": "918-458-6533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "912 S COLLEGE AVE",
"city": "TAHLEQUAH",
"state": "OK",
"postal_code": "744644726",
"telephone_number": "918-456-8826",
"fax_number": "918-458-6533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOPKINS",
"first_name": "JENIFER",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-15",
"last_updated": "2017-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OK",
"license": "4072",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tahlequah, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.