Active NPI
Brittany Dianna Nicole Jefferson, CCC-SLP
- Speech-Language Pathologist
- Oklahoma City, OK
National Provider Identifier
1992572242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 4724
- Practice address
- 5600 S Walker Ave
Oklahoma City, OK 73109-8314 - Phone
- (405) 632-7771
- NPI assigned
- Dec 6, 2023
- 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 | 4724 | OK | Primary |
Addresses
Primary practice location
5600 S Walker Ave
Oklahoma City, OK 73109-8314
Mailing address
1824 Melanie Dr
Oklahoma City, OK 73127-3213
Phone (580) 214-0307
Other practice location 1
14300 N Portland Ave
Oklahoma City, OK 73134-4030
Phone (405) 970-2121
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701820800000",
"number": "1992572242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1824 MELANIE DR",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731273213",
"telephone_number": "580-214-0307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5600 S WALKER AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731098314",
"telephone_number": "405-632-7771"
}
],
"practiceLocations": [
{
"address_1": "14300 N Portland Ave",
"address_purpose": "LOCATION",
"city": "Oklahoma City",
"state": "OK",
"postal_code": "731344030",
"country_code": "US",
"telephone_number": "405-970-2121",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JEFFERSON",
"first_name": "BRITTANY",
"middle_name": "DIANNA NICOLE",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-06",
"last_updated": "2023-12-06",
"certification_date": "2023-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OK",
"license": "4724",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.