Organization Active NPI

Heavener Public Schools

  • Speech-Language Pathologist
  • Heavener, OK
National Provider Identifier
1750723458
Registry record updated Jul 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
HEAVENER PUBLIC SCHOOLS
Practice address
500 W 2ND St
Heavener, OK 74937-3002
Phone
(918) 653-7223
Fax
(918) 653-7843
NPI assigned
Jul 23, 2013
Last updated
Jul 23, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2013

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

Authorized official

Name
Edward Wilson
Title
Superintendent
Phone
(918) 653-7223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X NU Primary

Addresses

Primary practice location

500 W 2ND St
Heavener, OK 74937-3002

Mailing address

PO Box 698
500 West 2ND Street
Heavener, OK 74937-0698
Phone (918) 653-7223

Other identifiers 1

IdentifierTypeStateIssuer
100680070BMedicaidOK

National Provider Directory

National Provider Directory
Tax ID family
Heavener Public School Lea2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

500 W 2nd St
Heavener, OK 74937
Phone (918) 653-4313

NPI Registry JSON

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

{
    "created_epoch": "1374537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374537600000",
    "number": "1750723458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 698",
            "address_2": "500 WEST 2ND STREET",
            "city": "HEAVENER",
            "state": "OK",
            "postal_code": "749370698",
            "telephone_number": "918-653-7223",
            "fax_number": "918-653-7843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W 2ND ST",
            "city": "HEAVENER",
            "state": "OK",
            "postal_code": "749373002",
            "telephone_number": "918-653-7223",
            "fax_number": "918-653-7843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENER PUBLIC SCHOOLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-23",
        "last_updated": "2013-07-23",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "918-653-7223"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100680070B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Heavener, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2013; 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.