IndividualActive
Randel Derose, M.A., CCC-SLP
NPI 1578145629 · Speech-Language Pathologist · Oklahoma City, OK
Provider details
- NPI number
- 1578145629
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- M.A., CCC-SLP
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11500 N Portland Ave
Oklahoma City, OK 73120-4625
Phone: (405) 548-4300
Fax: (405) 548-4349
Street-level locationGet directions
Mailing address
11500 N Portland Ave
Oklahoma City, OK 73120-4625
Additional practice locations (2)
- 2272 36th Ave Nw Ste 200Norman, OK 73072-3251Phone: (405) 767-4200Fax: (405) 548-4350
- 8125 E 101st St Ste 50Tulsa, OK 74133-7245Phone: (918) 392-7600Fax: (405) 548-4350
Registry dates
- Enumerated
- 2021-04-27
- Last updated
- 2025-02-28
- Certified
- 2025-02-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.