Individual provider Active NPI

Robin Marie Baack, CF-SLP

  • Speech-Language Pathologist
  • Stillwater, OK
National Provider Identifier
1891487658
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
6201 Issued in OK
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

Updated by the provider on Nov 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20241107001926 OK Practitioner - Qualified Speech Language Pathologist 2567996952 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
6201OKMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dysphagia Specialists, PLLC Speech-Language Pathologist CurrentSince Oct 16, 2024 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.

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.

Verify at the official NPI Registry.