Active NPI
Robin Marie Baack, CF-SLP
- Speech-Language Pathologist
- Stillwater, OK
National Provider Identifier
1891487658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 6201
- Practice address
- 301 S Duck St
Stillwater, OK 74074-3249 - Phone
- (405) 377-8255
- NPI assigned
- May 22, 2023
- 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 | 6201 | OK | Primary |
Addresses
Primary practice location
301 S Duck St
Stillwater, OK 74074-3249
Mailing address
116 S Stallard St
Stillwater, OK 74074-6223
Phone (918) 859-4545
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
301 S Duck St
Suite 1
Stillwater, OK 74074-3260
Phone (405) 377-8255
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6201 | OK | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dysphagia Specialists, PLLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
301 S Duck St
Ste 1
Stillwater, OK 74074
Phone (405) 377-8255
301 S Duck St
Stillwater, OK 74074
Phone (405) 377-8255
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.
-
- Speech-Language Pathologist
- Stillwater, OK
- NPI 1356746184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731542400000",
"number": "1891487658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 S STALLARD ST",
"city": "STILLWATER",
"state": "OK",
"postal_code": "740746223",
"telephone_number": "918-859-4545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 S DUCK ST",
"city": "STILLWATER",
"state": "OK",
"postal_code": "740743249",
"telephone_number": "405-377-8255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAACK",
"first_name": "ROBIN",
"middle_name": "MARIE",
"credential": "CF-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-22",
"last_updated": "2024-11-14",
"certification_date": "2024-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OK",
"license": "6201",
"primary": true
}
],
"identifiers": [],
"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 Nov 14, 2024; 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.