Active NPI
Robin Brittney Buller, M.S.CCC-SLP
- Speech-Language Pathologist
- Enid, OK
National Provider Identifier
1972619963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 968
- Practice address
- 10424 N Imo Rd
Enid, OK 73703-2105 - Phone
- (580) 747-1406
- NPI assigned
- Aug 22, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 968 | OK | Primary |
Addresses
Primary practice location
10424 N Imo Rd
Enid, OK 73703-2105
Mailing address
10424 N Imo Rd
Enid, OK 73703-2105
Phone (580) 747-1406
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100638230B | Medicaid | OK |
Other names 1
- Mrs. Brittney Buller
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
10424 N Imo Rd
Enid, OK 73703-2105
601 S Harding St
Suite a
Enid, OK 73703-6323
Phone (580) 478-8620
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 968 | OK | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Speech Solutions | Speech-Language Pathologist | Current | Accepting new patients |
Locations
601 S Harding St
Ste A
Enid, OK 73703
Phone (580) 231-6155
Organizations & group practices 1
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.
-
- Speech-Language Pathologist
- Enid, OK
- NPI 1932836152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670025600000",
"number": "1972619963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10424 N IMO RD",
"city": "ENID",
"state": "OK",
"postal_code": "737032105",
"telephone_number": "580-747-1406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10424 N IMO RD",
"city": "ENID",
"state": "OK",
"postal_code": "737032105",
"telephone_number": "580-747-1406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BULLER",
"first_name": "ROBIN",
"middle_name": "BRITTNEY",
"name_prefix": "Mrs.",
"credential": "M.S.CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-22",
"last_updated": "2022-12-03",
"certification_date": "2022-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OK",
"license": "968",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100638230B",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BRITTNEY",
"last_name": "BULLER",
"prefix": "MRS.",
"credential": "M.S.,CCC-SLP",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Enid, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.