Linda Rae Nelson, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2779 Issued in OK

Practice address

8524 S Western Ave
Suite 112
Oklahoma City, OK 73139-9246

Phone

(405) 702-9396

Fax

(405) 702-9397

NPI assigned

Oct 31, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Speech Pathology Services, LLC

  • Speech-Language Pathologist
  • Oklahoma City, OK
  • NPI 1629306477
  NPD (past)

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

{
    "created_epoch": "1320019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320019200000",
    "number": "1871879163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950507 S HIGHWAY 18",
            "city": "CHANDLER",
            "state": "OK",
            "postal_code": "748344244",
            "telephone_number": "405-258-2839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8524 S WESTERN AVE",
            "address_2": "SUITE 112",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731399246",
            "telephone_number": "405-702-9396",
            "fax_number": "405-702-9397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "LINDA",
        "middle_name": "RAE",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-31",
        "last_updated": "2011-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "2779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Nelson
• Julie Nelson
• Katelyn Nicole Nelson, OT
• Kathleen E Nelson
• Korey Monchae Nelson
• Mandy Marie Nelson, APRN-CNS
• Misty Nelson
• Moriah Nelson
• Ryan Lee Nelson, DO
• Rylan Nelson

• Speech-Language Pathologist in Oklahoma City, OK
• Providers in Oklahoma City, 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 Oct 31, 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.

Verify at the official NPI Registry.