CHRISTOPHER JACK (NPI# 1720421852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720421852 |
Entity Type | Individual |
Full Name | CHRISTOPHER JACK |
Credential | MA, SLP |
Practice Address |
1211 N Shartel Ave Suite 200 Oklahoma City OK 73103-2400 |
Practice Telephone | 4053553239 |
Enumeration Date | 2013-04-08 |
Last Update Date | 2013-04-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 235Z00000X | Speech-Language Pathologist | 4046 | OK | Speech, Language and Hearing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093918641 | Christopher S Jack | Student in an Organized Health Care Education/Training Program | 1100 9th Ave, Seattle, WA 98101-2756 | 2007-06-08 |
Street Address |
1211 N SHARTEL AVE SUITE 200 |
City | OKLAHOMA CITY |
State | OK |
Zip Code | 73103-2400 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235133778 | Brenda Kris Mullins | Internal Medicine | 1211 N Shartel Ave, Suite 1000, Oklahoma City, OK 73103-2400 | 2005-06-13 |
1588175152 | Ascent Health Services LLC | Occupational Therapist | 1211 N Shartel Ave, Oklahoma City, OK 73103-2400 | 2017-10-23 |
1285082511 | Dennis E Sandler Md Pllc | Obstetrics & Gynecology | 1211 N Shartel Ave, 602, Oklahoma City, OK 73103-2400 | 2016-05-26 |
1487044954 | Ashley Marie Kellert | Marriage & Family Therapist | 1211 N Shartel Ave, Suite 603, Oklahoma City, OK 73103-2400 | 2015-02-04 |
1053735035 | Dr B Kris Mullins Md Pllc | Internal Medicine | 1211 N Shartel Ave, Suite 1000, Oklahoma City, OK 73103-2400 | 2014-02-11 |
1659613305 | Leroy Young | Preventive Medicine | 1211 N Shartel Ave, Stuite # 500, Oklahoma City, OK 73103-2400 | 2013-03-20 |
1013255462 | Chonita Kathleen Gardner | Specialist | 1211 N Shartel Ave, Suite 407, Oklahoma City, OK 73103-2400 | 2013-01-18 |
1366789836 | Francis Deason | Occupational Therapy Assistant | 1211 N Shartel Ave, Ste 200, Oklahoma City, OK 73103-2400 | 2013-01-03 |
1902141765 | Catalyst Health Clinic L.L.C. | Family Medicine | 1211 N Shartel Ave, Suite 208, Oklahoma City, OK 73103-2400 | 2012-12-05 |
1730439993 | Tina Morris | Occupational Therapy Assistant | 1211 N Shartel Ave, Suite 200, Oklahoma City, OK 73103-2400 | 2012-09-14 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568946846 | Medical Center Pain Clinic, LLC | Pain Medicine | 1226 N Shartel Ave Suite 300, Oklahoma City, OK 73103 | 2018-09-21 |
1801321369 | Jessica Reed | Community Health Worker | 432 Nw11th St, Oklahoma City, OK 73103 | 2017-04-21 |
1982070975 | Retinal Care Diagnostics LLC | Ophthalmology | 1111 N Lee Ave Ste 210, Oklahoma City, OK 73103 | 2015-08-13 |
1316329063 | Nurturing Positive Solutions | Marriage & Family Therapist | 307 N. W. 21st Street, Oklahoma City, OK 73103 | 2015-06-18 |
1871916700 | Good Shepherd Ministries | Clinic/Center | 222 Nw 12th Street, Oklahoma City, OK 73103 | 2014-01-29 |
1275973448 | Christine Donnette Jeffers | Case Manager/Care Coordinator | 433 Nw 25 #10, Oklahoma, OK 73103 | 2013-07-02 |
1629327358 | Kelly Rose Whelan | Social Worker | 416 Nw 23rd St, Oklahoma City, OK 73103 | 2012-09-10 |
1801160585 | Susan Elizabeth Bigbie | Registered Nurse | 1214 N Hudson, Oklahoma City, OK 73103 | 2012-02-28 |
1548533441 | Doris Gayle Poteet | Licensed Practical Nurse | 1214 N. Hudson, Oklahoma, OK 73103 | 2012-02-23 |
1538440698 | Wendi J Rollins | Case Manager/Care Coordinator | 600 Nw 23, Suite 108, Oklahoma City, OK 73103 | 2011-09-02 |
Find all providers in zip 73103 |
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 |
---|---|---|---|---|
1134735970 | Grace Marie Prieto | Speech-Language Pathologist | 505 E Sheridan Ave Apt 1126, Oklahoma City, OK 73104-6704 | 2020-09-17 |
1972118297 | Tammy Sanders | Speech-Language Pathologist | 10208 Berrywood Dr, Oklahoma City, OK 73151-4006 | 2020-09-14 |
1346854932 | Angela Lea Smith | Speech-Language Pathologist | 2222 Sw 44th St, Oklahoma City, OK 73119-3526 | 2020-09-01 |
1174133078 | Ashley Mcleod | Speech-Language Pathologist | 2211 S Midwest Blvd, Oklahoma City, OK 73110-5448 | 2020-08-05 |
1114559614 | Lulupi Planning | Speech-Language Pathologist | 4416 N Western Ave Ste 204, Oklahoma City, OK 73118-5256 | 2020-02-12 |
1700422599 | Katie Knapik | Speech-Language Pathologist | 2216 Persimmon Dr, Oklahoma City, OK 73120-2086 | 2019-11-27 |
1467096768 | Anne Michelle Powell Shafer | Speech-Language Pathologist | 12101 N Macarthur Blvd Ste 429, Oklahoma City, OK 73162-1800 | 2019-10-30 |
1164066585 | Deirdre Colleen Fudge | Speech-Language Pathologist | 3341 Nw 19th St, Oklahoma City, OK 73107-3827 | 2019-10-29 |
1346881190 | Adrian Trialon Whiting | Speech-Language Pathologist | 8801 S Olie Ave Ste 5, Oklahoma City, OK 73139-9362 | 2019-10-02 |
1790337566 | Lauren Miller | Speech-Language Pathologist | 14000 Bermuda Cir, Oklahoma City, OK 73170-5737 | 2019-07-11 |
Find all providers in OKLAHOMA CITY |
City | OKLAHOMA CITY |
Zip Code | 73103 |
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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.