Active NPI
Outside the Box Speech Services, LLC
- Hearing and Speech Clinic/Center
- Bristow, OK
National Provider Identifier
1801259692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing and Speech Clinic/Center
- License
- 3498
- Legal business name
- OUTSIDE THE BOX SPEECH SERVICES, LLC
- Practice address
- 19001 S 369TH West Ave
Bristow, OK 74010-2067 - Phone
- (405) 255-0642
- NPI assigned
- Mar 30, 2016
- Last updated
- Mar 30, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer N Kemp, MS, CCC-SLP
- Title
- Speech-Language Pathologist
- Phone
- (405) 255-0642
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing and Speech Clinic/Center | 261QH0700X | 3498 | OK | Primary |
Addresses
Primary practice location
19001 S 369TH West Ave
Bristow, OK 74010-2067
Mailing address
19001 S 369TH West Ave
Bristow, OK 74010-2067
Phone (405) 255-0642
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200241250A | Medicaid | OK |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Speech-Language Pathologist
- Bristow, OK
- NPI 1558595207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459296000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1459296000000",
"number": "1801259692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19001 S 369TH WEST AVE",
"city": "BRISTOW",
"state": "OK",
"postal_code": "740102067",
"telephone_number": "405-255-0642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19001 S 369TH WEST AVE",
"city": "BRISTOW",
"state": "OK",
"postal_code": "740102067",
"telephone_number": "405-255-0642"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OUTSIDE THE BOX SPEECH SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-30",
"last_updated": "2016-03-30",
"status": "A",
"authorized_official_last_name": "KEMP",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
"authorized_official_telephone_number": "405-255-0642",
"authorized_official_credential": "MS, CCC-SLP"
},
"taxonomies": [
{
"code": "261QH0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, Hearing and Speech",
"state": "OK",
"license": "3498",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200241250A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bristow, OK
- Jennifer Morgan
- Oma Kay Murray
- Sammi Noel Nance, APRN
- Elizabeth Norwood, CPM
- Osu Center for Health Sciences (Osu-Aj Anne May)
- Angi Palmer-Manire, APRN, DNP, FNP-C
- Jay Wade Pettit, D.D.S.
- Pharmology Bristow LLC (Super H Pharmacy)
- Physicians Choice Dialysis of Bristow LLC
- Physicians Pathology Inc (Sandra K Dimmitt MD)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.