Individual provider Active NPI

Veronica Ann Owens

  • Speech-Language Pathologist
  • Edmond, OK
National Provider Identifier
1952964702
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5120 Issued in OK
Practice address
209 Lilac Dr Ste 130
Edmond, OK 73034-7208
Phone
(405) 295-5753
NPI assigned
Apr 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2022

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 5120 OK Primary

Addresses

Primary practice location

209 Lilac Dr Ste 130
Edmond, OK 73034-7208

Mailing address

209 Lilac Dr Ste 130
Edmond, OK 73034-7208
Phone (405) 295-5753

Other practice location 1

1824 Commons Cir Ste B
Yukon, OK 73099-9538
Phone (405) 467-6782

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

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Rehab, LLC Speech-Language Pathologist CurrentSince Jun 1, 2022 Accepting new patients
Edmond Speech Therapy LLC Speech-Language Pathologist CurrentSince Aug 7, 2022 Accepting new patients
Speech Pathways, PLLC Past Accepting new patients
Speech Pathway LLC Speech-Language Pathologist PastSince Apr 3, 2023 Accepting new patients

Locations

209 Lilac Dr
Ste 130
Edmond, OK 73034
Phone (405) 295-5753

1824 Commons Cir
Ste B
Yukon, OK 73099
Phone (405) 324-0961

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1555459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1952964702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 LILAC DR STE 130",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730347208",
            "telephone_number": "405-295-5753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 LILAC DR STE 130",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730347208",
            "telephone_number": "405-295-5753"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1824 Commons Cir Ste B",
            "address_purpose": "LOCATION",
            "city": "Yukon",
            "state": "OK",
            "postal_code": "730999538",
            "country_code": "US",
            "telephone_number": "405-467-6782",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OWENS",
        "first_name": "VERONICA",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-17",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "5120",
            "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 Aug 5, 2022; 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.