Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1578145629 Individual Practitioner Female Practitioner

Randel Derose , MA, CCC-SLP

Speech-Language Pathologist • Oklahoma City, OK

Professional Overview & Biography Verified Profile Summary

Randel Derose, MA, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Oklahoma City, OK. Practice services are available at 11500 N PORTLAND AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11500 N Portland Ave

Oklahoma City, OK 731204625

Telephone 4055484300
Fax 4055484349
Associated Practice Facility / Clinic
🏢 Hearts For Hearing Foundation Facility NPI 1215006150

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Oklahoma City, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.7 Yrs
State Avg: 15.1 Yrs
Regional Practice Density
429 Specialists

Practicing in Oklahoma City, 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: 2025-02-28
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

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.

Secondary Practice Locations

8125 E 101st St Ste 50

Tulsa, OK 741337245

Phone: 9183927600

2272 36th Ave Nw Ste 200

Norman, OK 730723251

Phone: 4057674200

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Kimberly Fox , AuD, CCC-A

Audiologist-Hearing Aid Fitter

NPI 1043445026

Doctor of Audiology, CCCA

NPI 1053057364

Doctor of Audiology

Rebecca Wolters , MS, CCC-SLP

Speech-Language Pathologist

NPI 1063048429

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

Joanna Smith , CCC-SLP

Speech-Language Pathologist

NPI 1063581288

Speech-Language Pathologist (Certificate of Clinical Competence)

NPI 1063584100

Doctor of Philosophy (Ph.D.)

NPI 1063987691

Doctor of Audiology, CCCA

Career & Practice History Timeline

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

7 Historical Events
👤
Provider Name / Credentials Updated July 08, 2021

Recorded as RANDEL DEROSE, M.A., CCC-SLP

NPI Profile Active April 27, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location April 27, 2021

Registered at 11500 N PORTLAND AVE, OKLAHOMA CITY, OK 731204625 (Tel: 4055484300)

📍
Updated Business Mailing Address April 27, 2021

Registered at 11500 N PORTLAND AVE, OKLAHOMA CITY, OK 731204625 (Tel: 4055484300)

👤
Provider Name / Credentials Updated April 27, 2021

Recorded as RANDEL LEAHY, M.A., CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 27, 2021

Speech-Language Pathologist

🟢
Initial NPI Registration & Enumeration April 27, 2021

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: 1578145629
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 27, 2021
Last Update: February 28, 2025
Sole Proprietor: No

Mailing Address

11500 N Portland Ave

Oklahoma City, OK 731204625

Phone: 4055484300

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.