NPIMap

Organization Active NPI

Olustee-Eldorado Public School

  • Speech-Language Pathologist
  • Olustee, OK
National Provider Identifier
1962061317
Registry record updated Jun 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
OLUSTEE-ELDORADO PUBLIC SCHOOL
Practice address
606 E. 6TH Street
Olustee, OK 73560-0070
Phone
(580) 648-2243
Fax
(580) 648-2501
NPI assigned
Jun 10, 2019
Last updated
Jun 10, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2019

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

Authorized official

Name
Mr. Richard Melvin Hazel
Title
Superintendent
Phone
(580) 648-2243

Specialties & licenses 1

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

Addresses

Primary practice location

606 E. 6TH Street
Olustee, OK 73560-0070

Mailing address

PO Box 70
Olustee, OK 73560-0070
Phone (580) 648-2243

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560124800000",
    "number": "1962061317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70",
            "city": "OLUSTEE",
            "state": "OK",
            "postal_code": "735600070",
            "telephone_number": "580-648-2243",
            "fax_number": "580-648-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 E. 6TH STREET",
            "city": "OLUSTEE",
            "state": "OK",
            "postal_code": "735600070",
            "telephone_number": "580-648-2243",
            "fax_number": "580-648-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLUSTEE-ELDORADO PUBLIC SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-10",
        "last_updated": "2019-06-10",
        "status": "A",
        "authorized_official_last_name": "HAZEL",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "MELVIN",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "580-648-2243",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olustee, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; 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.