Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1154706604 Individual Practitioner Female Practitioner

Jessica L Lathem , SLP-CCC

Speech-Language Pathologist • Enid, OK

Professional Overview & Biography Verified Profile Summary

Jessica Lathem, SLP-CCC is a registered healthcare professional specializing in Speech-Language Pathologist in Enid, OK. Practice services are available at 2615 E RANDOLPH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2615 E Randolph Ave

Enid, OK 737014670

Telephone 5802343734
Fax 5802342615
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Enid, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.0 Yrs
State Avg: 15.1 Yrs
Regional Practice Density
32 Specialists

Practicing in Enid, OK (2489 Statewide)

Telehealth Adoption Rate
3.1% 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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License OK 4442

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
200598780A (OK)

Practice Associates & Co-Workers

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

12 Associated Practitioners
Emily Buller , MS CCC SLP

Speech-Language Pathologist

NPI 1063649127

MSCCCSLP

Paula Weaver

Speech-Language Pathologist

NPI 1114194362
Nicole Fogtman , MS, CCC-SLP

Speech-Language Pathologist

NPI 1124560933

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Darci Dennis , MED CCC SLP

Speech-Language Pathologist

NPI 1275760332

MEDCCCSLP

Charlene Wichert , MA CCC SLP

Speech-Language Pathologist

NPI 1386781748

MACCCSLP

Katie Stogsdill , MS CCC-SLP

Speech-Language Pathologist

NPI 1467897017

MSCCCSLP

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 20, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location July 20, 2016

Registered at 2615 E RANDOLPH AVE, ENID, OK 737014670 (Tel: 5802343734)

📍
Updated Business Mailing Address July 20, 2016

Registered at 1370 N INTERSTATE DR, STE 154, NORMAN, OK 730723377 (Tel: 4053076668)

👤
Provider Name / Credentials Updated July 20, 2016

Recorded as JESSICA LATHEM, SLP-CCC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 20, 2016

Speech-Language Pathologist (License #4442 in OK)

🟢
Initial NPI Registration & Enumeration July 27, 2015

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: 1154706604
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 27, 2015
Last Update: July 20, 2016
Sole Proprietor: No

Mailing Address

1370 N Interstate Dr, Ste 154

Norman, OK 730723377

Phone: 4053076668

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.