Active NPI
Kaitlyn Branch, SLP
- Speech-Language Pathologist
- Claremore, OK
National Provider Identifier
1972171841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- CF343
- Practice address
- 1071 W Blue Starr Dr
Claremore, OK 74017-2868 - Phone
- (918) 341-4343
- Fax
- (918) 341-8687
- NPI assigned
- Jun 16, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | CF343 | OK | Primary |
Addresses
Primary practice location
1071 W Blue Starr Dr
Claremore, OK 74017-2868
Mailing address
1071 W Blue Starr Dr
Claremore, OK 74017-2868
Phone (918) 341-4343
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | m.rylee@summitpediatrictherapies.com | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CF343 | OK | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623801600000",
"number": "1972171841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1071 W BLUE STARR DR",
"city": "CLAREMORE",
"state": "OK",
"postal_code": "740172868",
"telephone_number": "918-341-4343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1071 W BLUE STARR DR",
"city": "CLAREMORE",
"state": "OK",
"postal_code": "740172868",
"telephone_number": "918-341-4343",
"fax_number": "918-341-8687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANCH",
"first_name": "KAITLYN",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-16",
"last_updated": "2021-06-16",
"certification_date": "2021-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OK",
"license": "CF343",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "m.rylee@summitpediatrictherapies.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1071 W Blue Starr Dr",
"city": "Claremore",
"state": "OK",
"country_code": "US",
"postal_code": "740172868",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Claremore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.