Individual provider Active NPI

Karen Fourkiller, M.ED., SLP-CCC

  • Speech-Language Pathologist
  • Stilwell, OK
National Provider Identifier
1831814482
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
864 Issued in OK
Practice address
470658 E 850 Rd
Stilwell, OK 74960-9391
Phone
(918) 696-7866
NPI assigned
Oct 6, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 864 OK Primary

Addresses

Primary practice location

470658 E 850 Rd
Stilwell, OK 74960-9391

Mailing address

470658 E 850 Rd
Stilwell, OK 74960-9391
Phone (918) 696-7866

Other identifiers 1

IdentifierTypeStateIssuer
01111167OtherOKASHA

Other names 1

  • Karen Dobbs Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
864OKMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Zion. School Speech-Language Pathologist CurrentSince Mar 12, 2023 Accepting new patients

Locations

470658 E 850 Rd
Stilwell, OK 74960
Phone (918) 696-7866

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1665014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1831814482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470658 E 850 RD",
            "city": "STILWELL",
            "state": "OK",
            "postal_code": "749609391",
            "telephone_number": "918-696-7866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470658 E 850 RD",
            "city": "STILWELL",
            "state": "OK",
            "postal_code": "749609391",
            "telephone_number": "918-696-7866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOURKILLER",
        "first_name": "KAREN",
        "credential": "M.ED., SLP-CCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-06",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA",
            "identifier": "01111167",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "DOBBS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Stilwell, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; 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.