Individual provider Active NPI

Kourtney A Dey, CCC-SLP

  • Speech-Language Pathologist
  • Miami, OK
National Provider Identifier
1942656137
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4505 Issued in OK
Practice address
17 3Rd Ave NW
Miami, OK 74354-3322
Phone
(918) 919-3143
Fax
(918) 544-6242
NPI assigned
May 6, 2016
Last updated
Feb 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 4505 OK Primary

Addresses

Primary practice location

17 3Rd Ave NW
Miami, OK 74354-3322

Mailing address

17 3Rd Ave NW
Miami, OK 74354-1620
Phone (918) 919-3143

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
4505OKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Royalty Speech Therapy, LLC Speech-Language Pathologist CurrentSince Aug 1, 2020 Accepting new patients

Locations

1227 N Main St
Miami, OK 74354
Phone (918) 542-6655

17 3rd Ave NW
Miami, OK 74354
Phone (918) 919-3143

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1462492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1942656137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 3RD AVE NW",
            "city": "MIAMI",
            "state": "OK",
            "postal_code": "743541620",
            "telephone_number": "918-919-3143",
            "fax_number": "918-544-6242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 3RD AVE NW",
            "city": "MIAMI",
            "state": "OK",
            "postal_code": "743543322",
            "telephone_number": "918-919-3143",
            "fax_number": "918-544-6242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEY",
        "first_name": "KOURTNEY",
        "middle_name": "A",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-06",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "4505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.