Individual provider Active NPI

Cristina Carpenter Gomes, SLP

  • Speech-Language Pathologist
  • Edmond, OK
National Provider Identifier
1881338531
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
CF209 Issued in OK
Practice address
301 S Boulevard Ste 126
Edmond, OK 73034-3880
Phone
(405) 285-6765
NPI assigned
Apr 27, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X CF209 OK Primary

Addresses

Primary practice location

301 S Boulevard Ste 126
Edmond, OK 73034-3880

Mailing address

301 S Boulevard Ste 126
Edmond, OK 73034-3880
Phone (405) 285-6765

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240304001340 OK Practitioner - Qualified Speech Language Pathologist 8820433535 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neuro Speech Solutions, PLLCGroup PAC ID 3971989666, 3 clinicians

Practice addresses (Care Compare)

Edmond, OK 73012
Phone (405) 844-2059

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5868OKMDProfessional Counselor
CF209OKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Neuro Speech Solutions, PLLC Single Specialty CurrentSince Feb 23, 2024 Accepting new patients

Locations

1701 Signal Ridge Dr
Ste 140
Edmond, OK 73013
Phone (405) 674-6304

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.

NPI Registry JSON

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

{
    "created_epoch": "1651017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1881338531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S BOULEVARD STE 126",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730343880",
            "telephone_number": "405-285-6765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S BOULEVARD STE 126",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730343880",
            "telephone_number": "405-285-6765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMES",
        "first_name": "CRISTINA",
        "middle_name": "CARPENTER",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-27",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "CF209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.