Active NPI
Donita R Tefft, M.A., CCC-SLP
- Speech-Language Pathologist
- Stillwater, OK
National Provider Identifier
1861500969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 3107
- Practice address
- 042 Murray
Stillwater, OK 74078-5062 - Phone
- (405) 744-6021
- Fax
- (405) 744-8070
- NPI assigned
- Aug 28, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 3107 | OK | Primary |
Addresses
Primary practice location
042 Murray
Stillwater, OK 74078-5062
Mailing address
129 E Marie Dr
Stillwater, OK 74075-1676
Phone (580) 402-2568
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200047620A | Medicaid | OK |
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)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3107 | OK | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300320000000",
"number": "1861500969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "129 E MARIE DR",
"city": "STILLWATER",
"state": "OK",
"postal_code": "740751676",
"telephone_number": "580-402-2568",
"fax_number": "405-744-8070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "042 MURRAY",
"city": "STILLWATER",
"state": "OK",
"postal_code": "740785062",
"telephone_number": "405-744-6021",
"fax_number": "405-744-8070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEFFT",
"first_name": "DONITA",
"middle_name": "R",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-28",
"last_updated": "2011-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OK",
"license": "3107",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200047620A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Stillwater, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.