Active NPI
Lynnette Wolfe, M.ED., CCC/SLP
- Speech-Language Pathologist
- Edmond, OK
National Provider Identifier
1942576269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2765
- Practice address
- 21942 White Pine Cir
Edmond, OK 73012-4193 - Phone
- (405) 330-3537
- NPI assigned
- Mar 30, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | 2765 | OK | Primary |
Addresses
Primary practice location
21942 White Pine Cir
Edmond, OK 73012-4193
Mailing address
21942 White Pine Cir
Edmond, OK 73012-4193
Phone (405) 330-3537
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 Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2765 | OK | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333065600000",
"number": "1942576269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21942 WHITE PINE CIR",
"city": "EDMOND",
"state": "OK",
"postal_code": "730124193",
"telephone_number": "405-330-3537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21942 WHITE PINE CIR",
"city": "EDMOND",
"state": "OK",
"postal_code": "730124193",
"telephone_number": "405-330-3537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLFE",
"first_name": "LYNNETTE",
"name_prefix": "Mrs.",
"credential": "M.ED., CCC/SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-30",
"last_updated": "2012-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OK",
"license": "2765",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.