SHANNEN MICHON PETERS (NPI# 1679825806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679825806 |
| Entity Type | Individual |
| Full Name | SHANNEN MICHON PETERS |
| Practice Address |
1822 E Young St Tulsa OK 74110-2050 |
| Practice Telephone | 9723886608 |
| Mailing Telephone | 9723886608 |
| Enumeration Date | 2012-10-11 |
| Last Update Date | 2012-10-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
1822 E YOUNG ST |
| City | TULSA |
| State | OK |
| Zip Code | 74110-2050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578985107 | Dustin Bryan | Counselor | 2727 E. Admiral Pl., Tulsa, OK 74110 | 2014-01-16 |
| 1710270418 | Deandre Lajuan Rhodes | Community/Behavioral Health | 1737 E. 32nd St. North, Tulsa, OK 74110 | 2011-05-27 |
| 1184732372 | Manuel John Alvarado Hinds | Surgery | 2448 E. Admiral Blvd, Tulsa, OK 74110 | 2006-08-28 |
| 1700822954 | Tracye Lynn Love | Counselor | 2442 Mohawk Blvd, Tulsa, OK 74110 | 2006-06-22 |
| 1932756491 | Chabreal Atkins Mcdaniel | Counselor | 2442 Mohawk Blvd, Tulsa, OK 74110 | 2019-08-20 |
| 1992259436 | Bricelyn Egana | Counselor | 2442 Mohawk Blvd, Tulsa, OK 74110 | 2016-08-13 |
| 1871972018 | Rhonda Wagnon | Counselor | 2442 Mohawk Blvd, Tulsa, OK 74110 | 2015-05-20 |
| 1831591916 | Melissa Moore | Counselor | 2442 Mohawk Blvd, Tulsa, OK 74110 | 2014-09-20 |
| 1871902007 | Kayla Chupco | Counselor | 2442 Mohawk Blvd, Tulsa, OK 74110 | 2014-08-13 |
| 1881004406 | Cecilie Croissant | Counselor | 2442 Mohawk Blvd, Tulsa, OK 74110 | 2014-05-05 |
| Find all providers in zip 74110 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467092924 | Gabrielle Mae Fielstra | Specialist | 1711 S 77th East Ave, Tulsa, OK 74112-7817 | 2020-01-13 |
| 1407266075 | Leoncio Raymond | Specialist | 2217 E 59th Str Apt# 624, Tulsa, OK 74105 | 2014-05-05 |
| 1548682644 | Ladd C. Atkins, D.o., P.l.l.c | Specialist | 9641 Riverside Pkwy, A, Tulsa, OK 74137-7441 | 2014-01-09 |
| 1861732919 | Alisha La'trice Mcconnell | Specialist | 1128 N Braden Ave, Tulsa, OK 74115-6417 | 2013-02-27 |
| 1477892024 | Lavonda D Coffey | Specialist | 145 S 36th West Ave, Tulsa, OK 74127-8123 | 2013-02-01 |
| 1891030169 | Advanced Invasive Pain Management of Houston | Specialist | 3558 E 51st St, Tulsa, OK 74135-3518 | 2012-11-28 |
| 1912201641 | Dawn Rochelle Demott | Specialist | 7409 E 84th St, Tulsa, OK 74133-6632 | 2011-01-10 |
| 1740598671 | Me Hoen Smith, PC | Specialist | 4629 S. Harvard, Suite A, Tulsa, OK 74135 | 2010-09-14 |
| 1023329604 | Mark A Birdsong Pllc | Specialist | 1809 E. 13th St., Ste.400, Tulsa, OK 74104-4431 | 2010-06-29 |
| 1992956361 | Michelle S Bullard | Specialist | 4606 S Garnett Rd Ste 302, Tulsa, OK 74146-5218 | 2008-10-03 |
| 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.