Active NPI
Amy Michelle Stewart, M.S. CCC-SLP
- Speech-Language Pathologist
- Clinton, OK
National Provider Identifier
1871672709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 3136
- Practice address
- 1930 W Gary Blvd
Clinton, OK 73601-3838 - Phone
- (580) 323-8778
- Fax
- (580) 323-8743
- NPI assigned
- Nov 2, 2006
- 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 | 3136 | OK | Primary |
Addresses
Primary practice location
1930 W Gary Blvd
Clinton, OK 73601-3838
Mailing address
27 Redbud Dr
Clinton, OK 73601-4921
Phone (580) 323-0215
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3136 | OK | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therawest LLC | 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 Therapist
- Clinton, OK
- NPI 1114142486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1871672709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 REDBUD DR",
"city": "CLINTON",
"state": "OK",
"postal_code": "736014921",
"telephone_number": "580-323-0215",
"fax_number": "580-323-8743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1930 W GARY BLVD",
"city": "CLINTON",
"state": "OK",
"postal_code": "736013838",
"telephone_number": "580-323-8778",
"fax_number": "580-323-8743"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "AMY",
"middle_name": "MICHELLE",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-02",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OK",
"license": "3136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clinton, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.