Active NPI
Gay Lyn Byrd, M.ED.
- Speech-Language Pathologist
- Yukon, OK
National Provider Identifier
1740322247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2977
- Practice address
- 200 S Ranchwood Blvd Ste 17
Yukon, OK 73099-2743 - Phone
- (405) 410-5047
- Fax
- (888) 523-6071
- NPI assigned
- Feb 12, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 2977 | OK | Primary |
Addresses
Primary practice location
200 S Ranchwood Blvd Ste 17
Yukon, OK 73099-2743
Mailing address
4625 Fawn Run Dr
Yukon, OK 73099-2336
Phone (405) 410-5047
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2977 | OK | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gay Lyn Byrd, M.Ed., CCC/SLP | Speech-Language Pathologist | Past | Accepting new patients |
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.
-
- Speech-Language Pathologist
- Yukon, OK
- NPI 1972805109
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428537600000",
"number": "1740322247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4625 FAWN RUN DR",
"city": "YUKON",
"state": "OK",
"postal_code": "730992336",
"telephone_number": "405-410-5047",
"fax_number": "888-523-6071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 S RANCHWOOD BLVD STE 17",
"city": "YUKON",
"state": "OK",
"postal_code": "730992743",
"telephone_number": "405-410-5047",
"fax_number": "888-523-6071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYRD",
"first_name": "GAY",
"middle_name": "LYN",
"name_prefix": "Mrs.",
"credential": "M.ED.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-12",
"last_updated": "2015-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OK",
"license": "2977",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yukon, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.