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Deactivated NPI 1932205002 Deactivated / Inactive NPI Female Practitioner

Mary Catherine Jefferson , MA, CCC-SLP

Speech-Language Pathologist • Muskogee, OK

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Mary Jefferson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 16, 2006
NPI Deactivation Date July 12, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Mary Jefferson, MA, CCC-SLP was a registered Speech-Language Pathologist practicing in Muskogee, OK. Throughout an active medical career spanning 17 years, Mary Jefferson provided care at the practice location at 1011 HONOR HEIGHTS DR until profile deactivation on 2023-07-12.

Practice Location & Contact Primary Location

Practice Address

1011 Honor Heights Dr

Muskogee, OK 744011318

Telephone 9186833261
Fax 9186803910
Associated Practice Facility / Clinic
🏢 Muskogee Vamc Facility NPI 1770541377

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Muskogee, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.7 Yrs
State Avg: 15.1 Yrs
Regional Practice Density
40 Specialists

Practicing in Muskogee, 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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License OK 678

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

40 Associated Practitioners
Alef Graham , ARNP

Nurse Practitioner - Family

NPI 1003924390

Advanced Registered Nurse Practitioner

Dr. Kola Danisa , MD

Internal Medicine - Cardiovascular Disease

NPI 1114026366

Doctor of Medicine (M.D.)

NPI 1134216575

Doctor of Osteopathic Medicine (D.O.)

Dr. Edward Moroney , MD

Internal Medicine

NPI 1144306762

Doctor of Medicine (M.D.)

Dr. Veena Kumar , PharmD

Pharmacist - Pharmacotherapy

NPI 1154423077

Doctor of Pharmacy (Pharm.D.)

Dr. Robert Edde , MD

Anesthesiology

NPI 1164515078

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated July 12, 2023

Record deactivated on July 12, 2023

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1011 HONOR HEIGHTS DR, MUSKOGEE, OK 744011318 (Tel: 9186833261)

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Updated Business Mailing Address July 08, 2007

Registered at 3009 KIMBERLEA DR, MUSKOGEE, OK 744031610 (Tel: 9186832215)

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Provider Name / Credentials Updated July 08, 2007

Recorded as MARY JEFFERSON, M.A., CCC-SLP

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Speech-Language Pathologist (License #678 in OK)

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Initial NPI Registration & Enumeration September 16, 2006

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: 1932205002
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 16, 2006
Last Update: July 08, 2007
Deactivation Date: July 12, 2023

Mailing Address

3009 Kimberlea Dr

Muskogee, OK 744031610

Phone: 9186832215

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.