Hayley Rose Peterson, CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

5173 Issued in OK

Practice address

3027 S New Haven Ave
Tulsa, OK 74114-6131

Phone

(918) 746-8763

NPI assigned

Aug 19, 2019

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

• Ms. Hayley Rose Peterson Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Independent School District Number 1 of Tulsa County, Oklahoma

  • Public Health or Welfare Agency
  • Tulsa, OK
  • NPI 1154313948
  NPD (past)

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

{
    "created_epoch": "1566172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1851948566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3027 S NEW HAVEN AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741146131",
            "telephone_number": "918-746-8763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3027 S NEW HAVEN AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741146131",
            "telephone_number": "918-746-8763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "HAYLEY",
        "middle_name": "ROSE",
        "credential": "CCC SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-19",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "5173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "5173",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "peterha1@tulsaschools.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Other",
            "address_1": "3027 S New Haven Ave",
            "city": "Tulsa",
            "state": "OK",
            "country_code": "US",
            "postal_code": "741146131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "HAYLEY",
            "last_name": "PETERSON",
            "middle_name": "ROSE",
            "prefix": "MS.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Cindy Peterson
• Drew Ayn Peterson, APRN-CRNA
• Emily Peterson
• Haiden Reece Peterson
• Hannah Peterson, PTA
• Jennifer Elizabeth Peterson, M.D.
• Joshua Peterson
• Lacy Annette Peterson, M.S., CCC-SLP
• Michael L Peterson, D.C.
• Natalie Peterson

• 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 Aug 19, 2019; 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.