SHANNON DENISE IJAMS (NPI# 1154691244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154691244 |
| Entity Type | Individual |
| Full Name | SHANNON DENISE IJAMS |
| Other Name | SHANNON DENISE ABERLE |
| Credential | PA-C |
| Practice Address |
1334 N Lansing Ave Tulsa OK 74106-5907 |
| Mailing Address |
Po Box 268838 Oklahoma City OK 73126-8838 |
| Practice Telephone | 9185872171 |
| Mailing Telephone | 9186194600 |
| Mailing Fax Number | 9186194601 |
| Enumeration Date | 2012-01-05 |
| Last Update Date | 2012-01-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
906 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033361753 | Shannon Ijams | Occupational Therapist | 23293 S Pointe Dr, Laguna Hills, CA 92653-1447 | 2008-10-13 |
| Street Address |
1334 N LANSING AVE |
| City | TULSA |
| State | OK |
| Zip Code | 74106-5907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316948656 | Michael T Montague | Family Medicine | 1334 N Lansing Ave, Tulsa, OK 74106-5907 | 2005-08-09 |
| 1750928974 | Martha Lievano-stanton | Social Worker | 1334 N Lansing Ave, Tulsa, OK 74106-5907 | 2019-12-06 |
| 1700420155 | Molly Ann Hannagan | Nurse Practitioner | 1334 N Lansing Ave, Tulsa, OK 74106-5907 | 2019-10-29 |
| 1629535174 | Jan Laverne Figart | Nurse Practitioner | 1334 N Lansing Ave, Tulsa, OK 74106-5907 | 2019-02-20 |
| 1326533324 | Paula Jean Rowan | Nurse Practitioner | 1334 N Lansing Ave, Tulsa, OK 74106-5907 | 2018-06-22 |
| 1457877433 | Amber Jones | Nurse Practitioner | 1334 N Lansing Ave, Tulsa, OK 74106-5907 | 2017-08-21 |
| 1003336942 | Carter G Brashears | Pharmacist | 1334 N Lansing Ave, Tulsa, OK 74106-5907 | 2017-06-21 |
| 1265884340 | Caleb Demarais | Counselor | 1334 N Lansing Ave, Tulsa, OK 74106-5907 | 2016-07-12 |
| 1033565676 | Elizabeth J Archer-cooper | Physician Assistant | 1334 N Lansing Ave, Tulsa, OK 74106-5907 | 2016-05-13 |
| 1821466244 | Emily Spencer | Nurse Practitioner | 1334 N Lansing Ave, Tulsa, OK 74106-5907 | 2015-09-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811538895 | Desma Johnson | Technician | 784 East 43rd Street North, Tulsa, OK 74106 | 2019-10-01 |
| 1912462094 | Breyan Lashawn Jackson | Case Manager/Care Coordinator | 3606 N Mlk Jr. Blvd, Tulsa, OK 74106 | 2019-02-04 |
| 1740751445 | Ernest Kaara Maina | Family Medicine | 3606 M.l.k. Jr Blvd, Tulsa, OK 74106 | 2018-12-07 |
| 1568969632 | A&m Healthcare Clinic | Nurse Practitioner | 3606 North Mlk Blvd, Tulsa, OK 74106 | 2018-04-06 |
| 1265880819 | Paula Patricia Tullis | Psychologist | 1232 N Boston, Tulsa, OK 74106 | 2016-05-24 |
| 1326413030 | Eartha Mcalester | Counselor | 628 E. Virgin St., Tulsa, OK 74106 | 2015-12-07 |
| 1114334182 | James O Brannon Jr. | Behavioral Analyst | 2745 North Main, Tulsa, OK 74106 | 2014-07-22 |
| 1952718512 | Teresa Marie Williams | Counselor | 3601 N. Martin Luther King Blvd, Tulsa, OK 74106 | 2014-07-16 |
| 1639580764 | Lynnette Dixon | Case Management | 708 East 38th Street North, Tulsa, OK 74106 | 2014-05-12 |
| 1184975898 | Tiara Delonia | Social Worker | 1 W 36th St N Suite 1, Tulsa, OK 74106 | 2012-09-21 |
| Find all providers in zip 74106 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073154647 | Haley Nicole Beaird | Physician Assistant | 8907 E 93rd St, Tulsa, OK 74133-5634 | 2019-10-03 |
| 1790155562 | Caldwell Medical Group of North Tulsa LLC | Physician Assistant | 8014 S 101st East Ave, Tulsa, OK 74133-4579 | 2015-10-05 |
| 1609298330 | Marci Love Deck | Physician Assistant | 2000 S Wheeling Ave Ste 1000, Tulsa, OK 74104-5648 | 2014-01-15 |
| 1619216272 | Nicole Lisette Mancinelli | Physician Assistant | 2424 E. 21st Street, Suite 320, Tulsa, OK 74114 | 2013-02-01 |
| 1184959389 | Erin Nicole Jones | Physician Assistant | 11212 E 48th St., Oklahoma Oncology, Tulsa, OK 74146-5806 | 2009-10-06 |
| 1194901793 | Annamae Kay | Physician Assistant | 1919 South Wheeling Ave, Ste 304, Tulsa, OK 74104 | 2008-01-14 |
| 1265632129 | Oklahoma Occupational Health Center | Physician Assistant | 5640 S Memorial Dr, Tulsa, OK 74145-9001 | 2007-07-19 |
| 1962535831 | Njanja Margaret Ruenji | Physician Assistant | Morton Comprehensive Health Services, 1334 N. Lasing Ave, Tulsa, OK 74106-5907 | 2007-03-13 |
| 1740355460 | Jeri Clark Goen | Physician Assistant | 3807 S Peoria Ave, Suite G and H, Tulsa, OK 74105-3145 | 2006-11-21 |
| 1790879237 | Steven Paul Henry | Physician Assistant | 10506 South Memorial Drive, Tulsa, OK 74133 | 2006-10-02 |
| Find all providers in TULSA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.