Organization Active NPI

Legacy Speech Solutions

  • Speech-Language Pathologist
  • Enid, OK
National Provider Identifier
1932836152
Registry record updated Aug 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
LEGACY SPEECH SOLUTIONS
Practice address
10424 N Imo Rd
Enid, OK 73703-2105
Phone
(580) 747-1406
NPI assigned
Aug 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2022

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

Authorized official

Name
Mrs. Robin Brittney Buller, M.S.,CCC-SLPNPI 1972619963
Title
Owner/Speech Pathologist
Phone
(580) 747-1406

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

10424 N Imo Rd
Enid, OK 73703-2105

Mailing address

10424 N Imo Rd
Enid, OK 73703-2105
Phone (580) 747-1406

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221216001116 OK Part B Supplier - Clinic/Group Practice 2365811189 Receives reassigned benefits from 1 practitioner
Practice locations: Enid, OK

National Provider Directory

National Provider Directory

Locations

601 S Harding St
Ste A
Enid, OK 73703
Phone (580) 231-6155

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1659830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659830400000",
    "number": "1932836152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10424 N IMO RD",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737032105",
            "telephone_number": "580-747-1406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10424 N IMO RD",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737032105",
            "telephone_number": "580-747-1406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY SPEECH SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-07",
        "last_updated": "2022-08-07",
        "certification_date": "2022-08-07",
        "status": "A",
        "authorized_official_last_name": "BULLER",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "BRITTNEY",
        "authorized_official_title_or_position": "OWNER/SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "580-747-1406",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S.,CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enid, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2022; 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.