Organization Active NPI

State of Oklahoma Board of Regents the Univ of Okla Health Science Ctr

  • Audiologist
  • Oklahoma City, OK
National Provider Identifier
1821088501
Registry record updated Mar 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
STATE OF OKLAHOMA BOARD OF REGENTS THE UNIV OF OKLA HEALTH SCIENCE CTR
Practice address
1200 N Stonewall Ave
John W Keys Speech and Hearing Center
Oklahoma City, OK 73104-1215
Phone
(405) 271-4214
Fax
(405) 271-3360
NPI assigned
Oct 25, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2009

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

Authorized official

Name
Jenielle Greenlee, BBA MPH
Title
Associate Dean for Finance
Phone
(405) 271-2288

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 231H00000X Primary
Speech-Language PathologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

1200 N Stonewall Ave
John W Keys Speech and Hearing Center
Oklahoma City, OK 73104-1215

Mailing address

1200 N Stonewall Ave
John W Keys Speech and Hearing Center
Oklahoma City, OK 73117-1215
Phone (405) 271-4214

Other identifiers 1

IdentifierTypeStateIssuer
100757320AMedicaidOK

Other names 1

  • JOHN W KEYS SPEECH AND HEARING CENTER Other name

National Provider Directory

National Provider Directory
Tax ID family
Sallisaw State Veterans Home140 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236816000000",
    "number": "1821088501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N STONEWALL AVE",
            "address_2": "JOHN W KEYS SPEECH AND HEARING CENTER",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731171215",
            "telephone_number": "405-271-4214",
            "fax_number": "405-271-3360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N STONEWALL AVE",
            "address_2": "JOHN W KEYS SPEECH AND HEARING CENTER",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731041215",
            "telephone_number": "405-271-4214",
            "fax_number": "405-271-3360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF OKLAHOMA BOARD OF REGENTS THE UNIV OF OKLA HEALTH SCIENCE CTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-25",
        "last_updated": "2009-03-12",
        "status": "A",
        "authorized_official_last_name": "GREENLEE",
        "authorized_official_first_name": "JENIELLE",
        "authorized_official_title_or_position": "ASSOCIATE DEAN FOR FINANCE",
        "authorized_official_telephone_number": "405-271-2288",
        "authorized_official_credential": "BBA MPH"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100757320A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JOHN W KEYS SPEECH AND HEARING CENTER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2009; 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.