NORTHEASTERN SPEECH THERAPY, PLLC (NPI# 1548523673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548523673 |
| Entity Type | Organization |
| Organization Name | NORTHEASTERN SPEECH THERAPY, PLLC |
| Practice Address |
18771 S 525 Rd Tahlequah OK 74464-0518 |
| Mailing Address |
Po Box 1612 Tahlequah OK 74465-1612 |
| Practice Telephone | 9189318941 |
| Mailing Telephone | 9189318941 |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2012-06-22 |
| Authorized Official Name | MRS. CHELSEA RENEE POTEETE (SPEECH-LANGUAGE PATHOLOGIST) |
| Authorized Official Telephone | 9189318941 |
| Authorized Official Credential | M.A., CCC-SLP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 3626 | OK | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200285740 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | NORTHEASTERN SPEECH THERAPY, PLLC | Po Box 1612, Tahlequah, OK 74465 |
| Street Address |
18771 S 525 RD |
| City | TAHLEQUAH |
| State | OK |
| Zip Code | 74464-0518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184253403 | Kendall Harris | Student in an Organized Health Care Education/Training Program | 100 Bliss Ave, Tahlequah, OK 74464 | 2020-04-07 |
| 1528609302 | Norma Brightly | Technician | 103 Sequoyah, Tahlequah, OK 74464 | 2019-10-03 |
| 1073175832 | Jody Lynn Dallis | Case Manager/Care Coordinator | Tenkiller Behavioral Services, 27753 S. Welling Rd, Welling, OK 74464 | 2019-07-02 |
| 1184287849 | Perry Jake Proctor | Student in an Organized Health Care Education/Training Program | 1400 E Downing St, Tahlequah, Ok 74464, Tahlequah, OK 74464 | 2019-04-18 |
| 1336657279 | Sidney Sheyenne Kimble | Case Manager/Care Coordinator | 1429 Jack Brown Lane, Tahlequah, OK 74464 | 2018-01-12 |
| 1891225686 | Nichols Bradley Alberty | Orthotist | 1294 East Downing, Suite 3, Tahlequah, OK 74464 | 2017-06-14 |
| 1922549690 | Krystal Easter Ms, Lpc | Counselor | 2201 Oakridge Dr, Tahlequah, OK 74464 | 2017-03-15 |
| 1144777319 | Northeastern Oklahoma Community Health Centers, Inc. | Clinic/Center | 529 N. Oak St., Tahlequah, OK 74464 | 2016-09-06 |
| 1548713456 | Clement Isioma Nwadozi | Optometrist | 3763 Southridge Cir Apt 6, Tahlequah, OK 74464 | 2016-07-27 |
| 1033532635 | Wesley Gragg | Specialist/Technologist | 603 North Grand Avenue, Tahlequah, OK 74464 | 2014-02-03 |
| Find all providers in zip 74464 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144673773 | Emily Freise | Speech-Language Pathologist | 400 E Ross St, Tahlequah, OK 74464-4023 | 2016-07-19 |
| 1811361280 | Macee Nolan | Speech-Language Pathologist | 718 Pendleton St, Tahlequah, OK 74464-2267 | 2015-11-21 |
| 1124498142 | Aaron Biggs | Speech-Language Pathologist | 303 W 4th St, Tahlequah, OK 74464-5203 | 2015-10-02 |
| 1669861837 | Melissa Largent | Speech-Language Pathologist | 17096 W 782 Rd, Tahlequah, OK 74464-7379 | 2015-01-12 |
| 1770854879 | Sasha Wyatt | Speech-Language Pathologist | 12825 W Mossy Oak Ln, Tahlequah, OK 74464-1481 | 2012-01-20 |
| 1558504449 | Shannon Pinson | Speech-Language Pathologist | 204 W Clay Rd, Tahlequah, OK 74464-8305 | 2009-04-08 |
| 1619125473 | Donna Dannette Cope | Speech-Language Pathologist | 1607 S Muskogee Ave Ste B, Tahlequah, OK 74464-5440 | 2008-09-05 |
| 1285813758 | Mary Blenkarn Purdy | Speech-Language Pathologist | 310 W Keetoowah St, Tahlequah, OK 74464-3824 | 2007-10-31 |
| 1285751123 | Sandra Kay Becker | Speech-Language Pathologist | 117 Carol St, Tahlequah, OK 74464-6211 | 2007-03-24 |
| 1700960382 | Patrice Elizabeth Thornton | Speech-Language Pathologist | 2404 Diffee Dr, Tahlequah, OK 74464-5722 | 2006-10-24 |
| Find all providers in TAHLEQUAH | ||||
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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.