Micah R Roberts

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2764 Issued in OK

Practice address

Clara Luper 615 N Classen Blvd
Okc, OK 73106

Phone

(405) 587-0430

NPI assigned

Jun 21, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Micah R Ferguson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1821351115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CLARA LUPER 615 N CLASSEN BLVD",
            "city": "OKC",
            "state": "OK",
            "postal_code": "73106",
            "telephone_number": "316-573-8821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CLARA LUPER 615 N CLASSEN BLVD",
            "city": "OKC",
            "state": "OK",
            "postal_code": "73106",
            "telephone_number": "405-587-0430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "MICAH",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-21",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "2764",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KS",
            "license": "2694",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICAH",
            "last_name": "FERGUSON",
            "middle_name": "R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ernest Emeka Odunze, BS,MA,MPH
• Mina Pakzad, OD
• Dennis Matthew Parker, MD
• Paige Hunter Parrack
• Astrud Annig Ray, CMT
• Tabatha M Rubino, COTA/L
• Gregory Robert Schubert, DO
• Hunter Scott
• Carla Marie Seitz, LPN
• Jasmine Small

• Speech-Language Pathologist in Okc, OK
• Providers in Okc, 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 Sep 15, 2023; 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.