Natalie Suzanne Mayberry Baumgartner

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

5316 Issued in OK

Practice address

12018 S Elm St Ste 111
Jenks, OK 74037-3653

Phone

(918) 724-5597

NPI assigned

Sep 14, 2020

Last updated

Sep 14, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1932714110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 W 125TH ST S",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740374996",
            "telephone_number": "918-724-5597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12018 S ELM ST STE 111",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740373653",
            "telephone_number": "918-724-5597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYBERRY BAUMGARTNER",
        "first_name": "NATALIE",
        "middle_name": "SUZANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-14",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "5316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Main Street Family Clinic Aprn-CNP PLLC
• Makarios Solutions LLC
• Vanessa Rene Malott, RN
• Nadia Marin
• Marriage and Family Solutions, LLC (Claire Domeck, M.A., LMFT)
• Benjamin A Mayer, DPT
• Jennifer Mayer, M.S,CCC-SLP
• Lilia McAlvain
• Ve'Shawn McCracken
• Baley McCully

• Speech-Language Pathologist in Jenks, OK
• Providers in Jenks, OK by specialty
• Speech-Language Pathologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.