Individual provider Active NPI

Janee Marie Standifer

  • Speech-Language Pathologist
  • Durant, OK
National Provider Identifier
1801166640
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4354 Issued in OK
Practice address
1600 N Washington Ave
Durant, OK 74701-2128
Phone
(580) 740-0205
Fax
(580) 634-2848
NPI assigned
Jan 11, 2012
Last updated
Jan 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2009007401 MO
Speech-Language Pathologist 235Z00000X 2962 KS
Speech-Language Pathologist 235Z00000X 4354 OK Primary

Addresses

Primary practice location

1600 N Washington Ave
Durant, OK 74701-2128

Mailing address

1600 N Washington Ave
Durant, OK 74701-2128
Phone (580) 740-0205

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190510001449 OK Practitioner - Qualified Speech Language Pathologist 5991048159 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2962KSMDSpeech-Language Pathologist
2009007401MOMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Janee Standifer SLP, LLC Speech-Language Pathologist CurrentSince May 3, 2019 Accepting new patients

Locations

1702 N Commerce St
Ste A
Ardmore, OK 73401
Phone (580) 223-5300

1600 N Washington Ave
Durant, OK 74701
Phone (580) 740-0205

1600 W University Blvd
Durant, OK 74701
Phone (580) 740-0205

1705 N Washington Ave
Ste C
Durant, OK 74701
Phone (580) 740-0205

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1801166640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 N WASHINGTON AVE",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012128",
            "telephone_number": "580-740-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 N WASHINGTON AVE",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012128",
            "telephone_number": "580-740-0205",
            "fax_number": "580-634-2848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANDIFER",
        "first_name": "JANEE",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-11",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2009007401",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KS",
            "license": "2962",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "4354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durant, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; 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.

Verify at the official NPI Registry.