Kelly Catherine Spiva, M.A.,CCC-A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

291 Issued in OK

Practice address

6802 S Olympia Ave Ste 200
Tulsa, OK 74132-1826

Phone

(918) 388-9090

Fax

(918) 388-9741

NPI assigned

Jun 16, 2005

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

Enrolled in OK

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Locations

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.

• Audiology Doctors of Tulsa PLLC

  • Audiologist
  • Tulsa, OK
  • NPI 1518148550
  Medicare reassignment NPD
• Hunt Spinal Care PLLC

  • Clinic/Center
  • Tulsa, OK
  • NPI 1700030830
  NPD (past)
• Freedom Hearing

  • Audiologist
  • Olathe, KS
  • NPI 1831541309
  NPD (past)

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1922003946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6802 S OLYMPIA AVE STE 200",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741321826",
            "telephone_number": "918-388-9090",
            "fax_number": "918-388-9741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6802 S OLYMPIA AVE STE 200",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741321826",
            "telephone_number": "918-388-9090",
            "fax_number": "918-388-9741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIVA",
        "first_name": "KELLY",
        "middle_name": "CATHERINE",
        "name_prefix": "Mrs.",
        "credential": "M.A.,CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-16",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OK",
            "license": "291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spinal Therapeutic Services Inc
• Spine Spa PLLC
• Spine Specialists P C
• Spineshield Neuromonitoring LLC
• Rosanne Spinks, BSW
• James Owen Spoon, PHARMD
• Mallory C. Spoor-Baker, D.O.
• Deborah Inez Sposato, CRNA
• Michael Vincent Spottedhorsechief, PRSS
• Charles Spradlin, APRN-CNP

• Audiologist in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Audiologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.