FREEBORN DYSPHAGIA ASSOCIATES, LLC (NPI# 1043854706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043854706 |
| Entity Type | Organization |
| Organization Name | FREEBORN DYSPHAGIA ASSOCIATES, LLC |
| Practice Address |
310 W Washington St Ste D Purcell OK 73080-4230 |
| Practice Telephone | 4056094618 |
| Practice Fax Number | 4053100679 |
| Mailing Telephone | 4056094618 |
| Mailing Fax Number | 4053100679 |
| Enumeration Date | 2019-11-05 |
| Last Update Date | 2020-07-01 |
| Authorized Official Name | KRISTINA ALYCIA FREEBORN (SPEECH & LANGUAGE PATHOLOGIST) |
| Authorized Official Telephone | 4056094618 |
| Authorized Official Credential | SLP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0700X |
Clinic/Center Specialization: Hearing and Speech |
Ambulatory Health Care Facilities |
| Street Address |
310 W WASHINGTON ST STE D |
| City | PURCELL |
| State | OK |
| Zip Code | 73080-4230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871915462 | Kristina Alycia Freeborn | Speech-Language Pathologist | 310 W Washington St Ste D, Purcell, OK 73080-4230 | 2014-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255702981 | Clarissa Shomo | Social Worker | Outpatient Services Purcell- 1726 N. Green Ave, Strong Family Development, Purcell, OK 73080 | 2015-10-07 |
| 1992138614 | Crystal Nicole Navarro | Social Worker | 1726 N. Green Avenue, Purcell, OK 73080 | 2013-08-16 |
| 1417242595 | Jarod D. Allen | Behavioral Analyst | Outpatient Services-purcell-1726 N Green Ave, Strong Family Development, Purcell, OK 73080 | 2011-06-16 |
| 1508195397 | Custom Dental of Purcell, Pllc | Dentist | 700 Chandler Rd., Purcell, OK 73080 | 2009-12-08 |
| 1336387513 | Regina Gail Pereira | Counselor | Outpatient Servies Purcell- 1726 W Green Ave, Strong Family Development, Purcell, OK 73080 | 2009-01-27 |
| 1114182342 | Tenia Ladonna Skinner | Family Medicine | 129 N 3rd Ave Ste C, Purcell, OK 73080 | 2008-07-28 |
| 1164691234 | Carla D Parnacher | Counselor | 1726 N Green Ave Outpatient Services- Purcell, Strong Family Development, Norman, OK 73080 | 2008-02-22 |
| 1932319811 | Amanda Diane Harrington | Marriage & Family Therapist | 1438 Hardcastle Blvd., Medical Family Therapy, Purcell, OK 73080 | 2007-05-22 |
| 1215059464 | Purcell Chiropractic PC | Chiropractor | 1205 N Green Ave, Purcell, OK 73080 | 2007-04-06 |
| 1144365339 | Cynthia Inez Maynard | Marriage & Family Therapist | 1726 North Green Avenue, Strong Family Development-outpatient Services Purcell, Purcell, OK 73080 | 2007-02-21 |
| Find all providers in zip 73080 | ||||
| Taxonomy Code | 261QH0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Hearing and Speech |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114560935 | Town & Country School Inc. | Clinic/Center | 8906 E 34th St, Tulsa, OK 74145-3404 | 2019-10-24 |
| 1578114591 | Ok Peds Pediatric Therapy Services | Clinic/Center | 7301 S Harrah Rd, Newalla, OK 74857-7912 | 2019-09-20 |
| 1285136135 | Shepherd Mall Therapy LLC | Clinic/Center | 2401 Nw 23rd St Ste 2d, Oklahoma City, OK 73107-2420 | 2018-03-07 |
| 1225562085 | Multiple Communications | Clinic/Center | 2501 Sw 93rd St, Oklahoma City, OK 73159-6713 | 2017-04-18 |
| 1043766405 | Pro Hearing, LLC | Clinic/Center | 10404 S Pennsylvania Ave, Oklahoma City, OK 73159 | 2016-08-26 |
| 1801259692 | Outside The Box Speech Services, LLC | Clinic/Center | 19001 S 369th West Ave, Bristow, OK 74010-2067 | 2016-03-30 |
| 1992194534 | Garrett Speech Language Pathology | Clinic/Center | 2713 Sw 140th St, Oklahoma City, OK 73170-5781 | 2015-01-20 |
| 1063818268 | Bragg Family Hearing Aid Center, LLC | Clinic/Center | 2222 W Hefner Rd Ste K, The Village, OK 73120-7619 | 2014-11-15 |
| 1245545458 | Gore Therapy Center, P.C. | Clinic/Center | 4121 W Gore Blvd, Lawton, OK 73505-6336 | 2010-08-11 |
| 1326664368 | Staton House | Clinic/Center | 1100 E Whispering Oaks Ter, Mustang, OK 73064-4870 | 2020-06-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.