Active NPI
Lori Sue Short, M.S., CCC-SLP
- Speech-Language Pathologist
- Oklahoma City, OK
National Provider Identifier
1932274123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 3260
- Practice address
- 1200 N Stonewall Ave
John W Keys Speech and Hearing Center
Oklahoma City, OK 73104-4649 - Phone
- (405) 271-4214
- Fax
- (405) 271-3360
- NPI assigned
- Nov 22, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 3260 | OK | Primary |
Addresses
Primary practice location
1200 N Stonewall Ave
John W Keys Speech and Hearing Center
Oklahoma City, OK 73104-4649
Mailing address
1200 N Stonewall Ave
John W Keys Speech and Hearing Center
Oklahoma City, OK 73104-4649
Phone (405) 271-4214
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3260 | Other | OK | LICENSE |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3260 | OK | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243900800000",
"number": "1932274123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 N STONEWALL AVE",
"address_2": "JOHN W KEYS SPEECH AND HEARING CENTER",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731044649",
"telephone_number": "405-271-4214",
"fax_number": "405-271-3360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 N STONEWALL AVE",
"address_2": "JOHN W KEYS SPEECH AND HEARING CENTER",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731044649",
"telephone_number": "405-271-4214",
"fax_number": "405-271-3360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHORT",
"first_name": "LORI",
"middle_name": "SUE",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-22",
"last_updated": "2009-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OK",
"license": "3260",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "3260",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.