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Dr. Bonnie L Pendleton , AuD, MS, MA

Audiologist β€’ Fort Sill, OK

Active NPI 1164519971 Individual Practitioner Female Practitioner
Practice location in NPPES

4301 Wilson St
Fort Sill, OK 735034472

Call 5805588424 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4301 Wilson St

Fort Sill, OK 735034472

Telephone 5805588424
Organization at the Same NPPES Address or Phone
Ahc Reynolds-Ft Sill Facility NPI 1487752960

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Fort Sill and Oklahoma

3 active clinicians are listed under Audiologist with a practice address in Fort Sill, OK (249 in Oklahoma).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-12-26
Audiologist Primary Specialty

NUCC Taxonomy Code: 231H00000X

License # reported to NPPES OK 239

(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES OK 2133

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oklahoma State Board of Medical Licensure.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
100657760E (OK)
Medicaid ID
100657760F (OK)
Medicaid ID
100657760A (OK)

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
NPI 1265099162

Doctor of Audiology

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location December 26, 2023

Registered at 4301 WILSON ST, FORT SILL, OK 735034472 (Tel: 5805588424)

πŸ“
Updated Business Mailing Address December 26, 2023

Registered at 4301 WILSON ST, FORT SILL, OK 735034472 (Tel: 5805588424)

πŸ‘€
Provider Name / Credentials Updated December 26, 2023

Recorded as BONNIE PENDLETON, AU.D., M.S., M.A.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 26, 2023

Speech-Language Pathologist (license number reported to NPPES: OK 2133)

βœ…
NPI Profile Active August 05, 2009

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 05, 2009

Registered at 6806 SW OAKLAND LN, LAWTON, OK 735055018 (Tel: 5805125010)

πŸ“
Business Mailing Address (Initial Record) August 05, 2009

Registered at 6806 SW OAKLAND LN, LAWTON, OK 735055018 (Tel: 5805125010)

πŸ‘€
Provider Name / Credentials (Initial Record) August 05, 2009

Recorded as BONNIE PENDLETON, AU.D.,M.A. CCC-SLP/A

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 05, 2009

Audiologist (license number reported to NPPES: OK 239)

🟒
Initial NPI Registration & Enumeration October 05, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1164519971
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 05, 2006
Last Update: December 26, 2023
Sole Proprietor: No

Mailing Address

4301 Wilson St

Fort Sill, OK 735034472

Phone: 5805588424

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.