Active NPI
Shannon Deer, SLP
- Speech-Language Pathologist
- Coyle, OK
National Provider Identifier
1871997254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 3653
- Practice address
- 700 S Cottingham Ave
Coyle, OK 73027-9465 - Phone
- (405) 466-2242
- NPI assigned
- Oct 14, 2014
- Last updated
- Oct 14, 2014
- 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 | 3653 | OK | Primary |
Addresses
Primary practice location
700 S Cottingham Ave
Coyle, OK 73027-9465
Mailing address
700 S Cottingham Ave
Coyle, OK 73027-9465
Phone (405) 466-2242
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 |
|---|---|---|---|
| 3653 | OK | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coyle School | Past | Accepting new patients | |
| Coyle School District No I-14 | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Local Education Agency (LEA)
- Coyle, OK
- NPI 1063534014
-
dba Coyle Public School
- Local Education Agency (LEA)
- Coyle, OK
- NPI 1366520439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413244800000",
"number": "1871997254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 S COTTINGHAM AVE",
"city": "COYLE",
"state": "OK",
"postal_code": "730279465",
"telephone_number": "405-466-2242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 S COTTINGHAM AVE",
"city": "COYLE",
"state": "OK",
"postal_code": "730279465",
"telephone_number": "405-466-2242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEER",
"first_name": "SHANNON",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-14",
"last_updated": "2014-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OK",
"license": "3653",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coyle, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.