Stephanie Lynn Gannaway, AU.D.,CCC-A

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

3745 Issued in OK

Practice address

3824 S Boulevard Ste 110
Edmond, OK 73013-5779

Phone

(405) 562-1810

Fax

(405) 562-1816

NPI assigned

May 24, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Stephanie Lynn Cunningham Former name

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Oklahoma Otolaryngology Hearing Center Inc

  • Audiologist
  • Edmond, OK
  • NPI 1356788954
  NPD

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

{
    "created_epoch": "1306195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1942593017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 960472",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731960472",
            "telephone_number": "405-755-6651",
            "fax_number": "405-755-2795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3824 S BOULEVARD STE 110",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730135779",
            "telephone_number": "405-562-1810",
            "fax_number": "405-562-1816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANNAWAY",
        "first_name": "STEPHANIE",
        "middle_name": "LYNN",
        "credential": "AU.D.,CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-24",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OK",
            "license": "3745",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "OK",
            "license": "3745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200338810A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "CUNNINGHAM",
            "middle_name": "LYNN",
            "credential": "AU.D.,CCC-A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Meredith Galloway
• Dan Galyean
• Ashley N Gammon
• Wendy Gamon
• Jay K Gannaway, MD
• Raghuvender Ganta, MD
• Lance Matthews Garber, MD
• Myrna Michelle Garbrecht, PHARMD
• Daniela Garces
• Jormi D Garcia Tomaw

• Audiologist-Hearing Aid Fitter in Edmond, OK
• Providers in Edmond, OK by specialty
• Audiologist-Hearing Aid Fitter in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.