Individual provider Active NPI

Yvonne Dirickson

  • Speech-Language Assistant
  • Lawton, OK
National Provider Identifier
1740196039
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
SLPA467 Issued in OK
Practice address
753 NW Fort Sill Blvd
Lawton, OK 73507-5498
Phone
(580) 357-6900
Fax
(580) 585-6319
NPI assigned
Aug 19, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 2355S0801X SLPA467 OK Primary

Addresses

Primary practice location

753 NW Fort Sill Blvd
Lawton, OK 73507-5498

Mailing address

862 SE Lasso Loop
Lawton, OK 73501-2029
Phone (580) 351-7973

Other practice location 1

5720 Geronimo Rd
Fort Sill, OK 73503-1451
Phone (580) 713-0060 ext. 4996

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

NPI Registry JSON

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

{
    "created_epoch": "1787097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1740196039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "862 SE LASSO LOOP",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735012029",
            "telephone_number": "580-351-7973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "753 NW FORT SILL BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735075498",
            "telephone_number": "580-357-6900",
            "fax_number": "580-585-6319"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5720 Geronimo Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Sill",
            "state": "OK",
            "postal_code": "735031451",
            "country_code": "US",
            "telephone_number": "580-713-0060 x4996",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIRICKSON",
        "first_name": "YVONNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-08-19",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "OK",
            "license": "SLPA467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; 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.