Mina McClure, M.S.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4435 Issued in OK

Practice address

2552 E Kenosha St
Broken Arrow, OK 74014

Phone

(918) 893-3735

Fax

(918) 893-3745

NPI assigned

Mar 18, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Mina Kawasaki Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

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.

• The Griffin Promise

  • Speech-Language Pathologist
  • Broken Arrow, OK
  • NPI 1083037956
  NPD (past)
• The Griffin Promise

  • Mental Health Counselor
  • Broken Arrow, OK
  • NPI 1881108975
  NPD (past)

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

{
    "created_epoch": "1458259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529971200000",
    "number": "1962863977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11870 N 107TH EAST AVE",
            "city": "COLLINSVILLE",
            "state": "OK",
            "postal_code": "740215537",
            "telephone_number": "918-431-1078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2552 E KENOSHA ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "74014",
            "telephone_number": "918-893-3735",
            "fax_number": "918-893-3745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLURE",
        "first_name": "MINA",
        "name_prefix": "Mrs.",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-18",
        "last_updated": "2018-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "4435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MINA",
            "last_name": "KAWASAKI",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Audra Michelle McCall, PAC
• Judy McCarter, ORT/L
• Erin McCarthy
• Elizabeth R McCaslin
• Caleb James McClary, COTA/L
• Brooklyn Diane McColey-Tuttle, DPT, PT
• Alex Matthew McCorkle
• Marsha McCormac, COTA/L
• Megan McCormick, M.S. CCC-SLP
• Cameron Joseph McCoy

• Speech-Language Pathologist in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Speech-Language Pathologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; 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.