Annette Reni Hanley, MS CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3209 Issued in OK

Practice address

261 East Lake Drive
Medicine Park, OK 73557

Phone

(405) 826-7852

Fax

(405) 606-6397

NPI assigned

Nov 1, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Norman Regional Providers Specialty Care

  • Surgery Physician
  • Norman, OK
  • NPI 1548513773
  Medicare reassignment NPD
• Reni Hanley SLP, LLC

  • Speech-Language Pathologist
  • Medicine Park, OK
  • NPI 1174406243
  NPD Authorized official

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1972680965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43",
            "city": "MEDICINE PARK",
            "state": "OK",
            "postal_code": "735570043",
            "telephone_number": "405-826-7852",
            "fax_number": "580-606-6397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 EAST LAKE DRIVE",
            "city": "MEDICINE PARK",
            "state": "OK",
            "postal_code": "73557",
            "telephone_number": "405-826-7852",
            "fax_number": "405-606-6397"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2002 E Robinson",
            "address_purpose": "LOCATION",
            "city": "Norman",
            "state": "OK",
            "postal_code": "73071",
            "country_code": "US",
            "telephone_number": "405-307-2814",
            "fax_number": "405-307-2801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANLEY",
        "first_name": "ANNETTE",
        "middle_name": "RENI",
        "name_prefix": "Ms.",
        "credential": "MS CCC SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "3209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Leigh Bryans, MS, CCC-SLP
• Comanche County Hospital Authority
• Mount Scott Counseling PLLC
• Reni Hanley SLP, LLC
• Emily Lauren Winters, APRN

• Speech-Language Pathologist in Medicine Park, OK
• Providers in Medicine Park, 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 Aug 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.