Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1639721475 Individual Practitioner Female Practitioner

Jaqueline Hernandez , CCC-SLP

Speech-Language Pathologist • Broken Arrow, OK

Professional Overview & Biography Verified Profile Summary

Jaqueline Hernandez, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Broken Arrow, OK. Practice services are available at 4800 W SAN ANTONIO ST STE 103 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4800 W San Antonio St Ste 103

Broken Arrow, OK 740126127

Telephone 9184178740
Fax 9184100299
Associated Practice Facility / Clinic
🏢 Total Renal Care Inc Facility NPI 1447653084

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Broken Arrow, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.8 Yrs
State Avg: 15.1 Yrs
Regional Practice Density
155 Specialists

Practicing in Broken Arrow, OK (2489 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-05-09
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License OK 5186

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Halee Cobbs , DPT

Physical Therapist - Pediatrics

NPI 1285158097

Doctor of Physical Therapy

Taryn Ashley , CF-SLP

Speech-Language Pathologist

NPI 1528821683

Clinical Fellow in Speech-Language Pathology

Kailey Farris

Speech-Language Pathologist

NPI 1710876495

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location May 09, 2023

Registered at 4800 W SAN ANTONIO ST STE 103, BROKEN ARROW, OK 740126127 (Tel: 9184178740)

📍
Updated Business Mailing Address May 09, 2023

Registered at 4800 W SAN ANTONIO ST STE 103, BROKEN ARROW, OK 740126127 (Tel: 9184178740)

NPI Profile Active July 11, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location July 11, 2019

Registered at 7608 E 91ST ST, TULSA, OK 741336014 (Tel: 9186630606)

📍
Updated Business Mailing Address July 11, 2019

Registered at 7608 E 91ST ST, TULSA, OK 741336014 (Tel: 9186630606)

👤
Provider Name / Credentials Updated July 11, 2019

Recorded as JAQUELINE HERNANDEZ, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 11, 2019

Speech-Language Pathologist (License #5186 in OK)

🟢
Initial NPI Registration & Enumeration July 11, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1639721475
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 11, 2019
Last Update: May 09, 2023
Sole Proprietor: No

Mailing Address

4800 W San Antonio St Ste 103

Broken Arrow, OK 740126127

Phone: 9184178740

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.