Active NPI
Karissa P. Marion-Smith, MS, CCC-SLP
- Speech-Language Pathologist
- Norman, OK
National Provider Identifier
1962078139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 5726
- Practice address
- 1201 W. Boyd St.
Norman, OK 73069-4801 - Phone
- (405) 366-7898
- Fax
- (405) 366-0010
- NPI assigned
- May 28, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | CF332 | OK | |
| Speech-Language Pathologist | 235Z00000X | 5726 | OK | Primary |
Addresses
Primary practice location
1201 W. Boyd St.
Norman, OK 73069-4801
Mailing address
7601 Lipizzan Rd
Oklahoma City, OK 73132-0006
Phone (405) 366-7898
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200988050A | Medicaid | OK |
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5726 | OK | MD | Speech-Language Pathologist |
| CF332 | OK | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therafun LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Quest Pediatric Therapy | Past | Accepting new patients |
Locations
1201 W Boyd St
Norman, OK 73069
Phone (405) 366-7898
Organizations & group practices 2
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.
-
- Pediatric Occupational Therapist
- Oklahoma City, OK
- NPI 1417335225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693526400000",
"number": "1962078139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7601 LIPIZZAN RD",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731320006",
"telephone_number": "405-366-7898",
"fax_number": "405-366-0010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 W. BOYD ST.",
"city": "NORMAN",
"state": "OK",
"postal_code": "730694801",
"telephone_number": "405-366-7898",
"fax_number": "405-366-0010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARION-SMITH",
"first_name": "KARISSA",
"middle_name": "P.",
"name_prefix": "Mrs.",
"credential": "MS, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-28",
"last_updated": "2023-09-01",
"certification_date": "2023-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OK",
"license": "CF332",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OK",
"license": "5726",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200988050A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norman, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.