Active NPI
Grace Secrest
- Speech-Language Pathologist
- Edmond, OK
National Provider Identifier
1831883487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- CF559
- Practice address
- 307 E Danforth Rd Ste 130
Edmond, OK 73034-4485 - Phone
- (405) 397-3550
- NPI assigned
- Jun 6, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | CF559 | OK | Primary |
Addresses
Primary practice location
307 E Danforth Rd Ste 130
Edmond, OK 73034-4485
Mailing address
4402 Vincent St
Norman, OK 73072-4418
Phone (405) 623-6234
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CF559 | OK | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anmxv LLC | Speech-Language Pathologist | Past | Accepting new patients |
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.
-
- Physical Therapy Clinic/Center
- Midwest City, OK
- NPI 1689433138
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708387200000",
"number": "1831883487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4402 VINCENT ST",
"city": "NORMAN",
"state": "OK",
"postal_code": "730724418",
"telephone_number": "405-623-6234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 E DANFORTH RD STE 130",
"city": "EDMOND",
"state": "OK",
"postal_code": "730344485",
"telephone_number": "405-397-3550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SECREST",
"first_name": "GRACE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-06-06",
"last_updated": "2024-02-20",
"certification_date": "2024-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OK",
"license": "CF559",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edmond, OK
- Seasons of Change Behavioral Health Services, Inc.
- Seasons of Change Behavioral Health Services, Inc.
- Jason Stephen Seay, APRN
- Ruth E Seba, SLP-CF
- Second to None, Inc
- Seeking Peace Counseling PLLC
- Shawna Diane Seelbach, CNP
- Seen Medical Group of Ok, P.C.
- Jeanette Reisz Seilhammer, DPT
- Selah Counseling Ministries, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.