SHAWN MOFFETT (NPI# 1558981829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558981829 |
| Entity Type | Individual |
| Full Name | SHAWN MOFFETT |
| Practice Address |
1201 N Stonewall Ave Oklahoma City OK 73117-1214 |
| Practice Telephone | 4052710000 |
| Enumeration Date | 2020-04-16 |
| Last Update Date | 2020-04-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1201 N STONEWALL AVE |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73117-1214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477557452 | Tim R Fagan | Dentist | 1201 N Stonewall Ave, Oklahoma City, OK 73117-1214 | 2005-06-08 |
| 1538778840 | Allison Brewer Dinse | Dentist | 1201 N Stonewall Ave, Oklahoma City, OK 73117-1214 | 2020-07-23 |
| 1922625813 | Amanda Stephanie Akkari | Dentist | 1201 N Stonewall Ave, Oklahoma City, OK 73117-1214 | 2020-06-26 |
| 1275159162 | Katherine Ann Gamble | Student in an Organized Health Care Education/Training Program | 1201 N Stonewall Ave, Oklahoma City, OK 73117-1214 | 2020-06-17 |
| 1255957023 | Andrew Lee Benjamin Jr. | Student in an Organized Health Care Education/Training Program | 1201 N Stonewall Ave, Oklahoma City, OK 73117-1214 | 2020-06-17 |
| 1295355337 | Gabriel Duffy | Student in an Organized Health Care Education/Training Program | 1201 N Stonewall Ave, Oklahoma City, OK 73117-1214 | 2020-04-18 |
| 1750933305 | Schuyler Allison Pracht | Dentist | 1201 N Stonewall Ave, Oklahoma City, OK 73117-1214 | 2019-07-14 |
| 1801458385 | Jeremiah Aigbedion | Dentist | 1201 N Stonewall Ave, Oklahoma City, OK 73117-1214 | 2019-07-03 |
| 1396307104 | Kathleen Alexis Higgins | Dentist | 1201 N Stonewall Ave, Oklahoma City, OK 73117-1214 | 2019-07-01 |
| 1710548920 | Cama Danielle Cord | Dentist | 1201 N Stonewall Ave, Oklahoma City, OK 73117-1214 | 2019-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922623271 | Katelyn Gerth | Student in an Organized Health Care Education/Training Program | University of Oklahoma College of Medicine, 800 Stanton L. Young Blvd, Oklahoma City, OK 73117 | 2020-06-12 |
| 1114401387 | Northstar Counseling Associates, LLC | Counselor | 4540 E Reno Ave, Del City, OK 73117 | 2018-09-24 |
| 1801300710 | Kenneth Belyeu | Peer Specialist | 625 N Nebraska, Okc, OK 73117 | 2017-11-30 |
| 1215483029 | Brian Behnum Minavi | Dentist | 1201 N. Stonewall Ave., Oklahoma City, OK 73117 | 2016-08-31 |
| 1649631409 | April Ajanwachukwu | Social Worker | 1309 N Nebraska Ave, Oklahoma City, OK 73117 | 2016-03-08 |
| 1518340405 | Shachi Shah | Dentist | 1201 N Stonewall Ave # 544n, Oklahoma City, OK 73117 | 2015-07-09 |
| 1063829067 | Lauren Marie Pierce | Speech-Language Pathologist | 1200 N. Stonewall Ave, Ahb 1058, Oklahoma City, OK 73117 | 2014-07-22 |
| 1306195235 | Rachel Devecchio | Case Manager/Care Coordinator | 1300 Ne 13th St, Oklahoma City, OK 73117 | 2012-09-06 |
| 1265780837 | Tiffany Dawn Stokely | Counselor | 1701 E Park Pl, Oklahoma, OK 73117 | 2012-08-29 |
| 1689935645 | Everett House | Behavioral Analyst | 1100 Ne 15th St, Oklahoma Cituy, OK 73117 | 2012-06-06 |
| Find all providers in zip 73117 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043044 | Marielle Crowell | Student in an Organized Health Care Education/Training Program | 700 Nw 51st St, Oklahoma City, OK 73118-6216 | 2020-11-08 |
| 1952902736 | Brandon Talaro Schmidt | Student in an Organized Health Care Education/Training Program | 100 Ne 4th St Apt 2305, Oklahoma City, OK 73104-2009 | 2020-11-06 |
| 1710588694 | Hayden Mackenzie Bryan | Student in an Organized Health Care Education/Training Program | 1425 Nw 29th St, Oklahoma City, OK 73106-3433 | 2020-11-05 |
| 1548861560 | Cruz Mccarty | Student in an Organized Health Care Education/Training Program | 101 Ne 53rd St Apt 3311, Oklahoma City, OK 73105-1892 | 2020-11-05 |
| 1063013530 | Thomas Labarthe | Student in an Organized Health Care Education/Training Program | 2833 Nw 67th St, Oklahoma City, OK 73116-4612 | 2020-11-02 |
| 1942808555 | Lindsay Guthrie | Student in an Organized Health Care Education/Training Program | 8405 Nw 142nd St, Oklahoma City, OK 73142-7005 | 2020-10-15 |
| 1487251393 | Bradley Austin Heldmann | Student in an Organized Health Care Education/Training Program | 500 Central Park Dr Apt 805, Oklahoma City, OK 73105-1734 | 2020-10-04 |
| 1427665157 | Bennett Graham Oden | Student in an Organized Health Care Education/Training Program | 2912 Cummings Dr, Oklahoma City, OK 73107-2117 | 2020-09-27 |
| 1023624228 | Erik Willis | Student in an Organized Health Care Education/Training Program | 200 Ne 14th St Apt C6, Oklahoma City, OK 73104-1236 | 2020-09-22 |
| 1730795253 | Darrell Lynn Nowlin | Student in an Organized Health Care Education/Training Program | 4400 North Lincoln Boluvard, Oklahoma City, OK 73105 | 2020-09-21 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73117 |
Please comment or provide details below to improve the information on SHAWN MOFFETT.
| 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.