Sandra Wright, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3453 Issued in OK

Practice address

1214 S Louisville Ave
Tulsa, OK 74112-5122

Phone

(918) 671-8310

NPI assigned

Feb 2, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sandra Ellen Wright Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368576000000",
    "number": "1811035900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1214 S LOUISVILLE AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741125122",
            "telephone_number": "918-671-8310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 S LOUISVILLE AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741125122",
            "telephone_number": "918-671-8310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "SANDRA",
        "name_prefix": "Dr.",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2013-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "3453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200246540A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "WRIGHT",
            "middle_name": "ELLEN",
            "credential": "PH.D., CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Micah Ray Wright, D.O
• Monica Joan Wright, MA, LPC-CANDIDATE
• Nateah Wright
• Rachel Renee Wright, BS BACHELOR OF SCIEN
• Samantha Wright
• Sonja L Wright
• Steven Matthew Wright, M.D.
• Taber Wright, CRNA
• Taylor Michele Wright
• Tiga Wright

• Speech-Language Pathologist in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Speech-Language Pathologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.