SHAUN REBECCA MCCORMICK (NPI# 1679957609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679957609 |
| Entity Type | Individual |
| Full Name | SHAUN REBECCA MCCORMICK |
| Credential | APRN |
| Practice Address |
401 S 3rd St Enid OK 73701-5737 |
| Mailing Address |
5300 N Independence Ave 280 Oklahoma City OK 73112-5556 |
| Practice Telephone | 5809771855 |
| Practice Fax Number | 5802422700 |
| Mailing Telephone | 5809771855 |
| Mailing Fax Number | 5802422700 |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2019-09-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
79150 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
401 S 3RD ST |
| City | ENID |
| State | OK |
| Zip Code | 73701-5737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114926243 | Charity J Goben | Physician Assistant | 401 S 3rd St, Attn: Integris Bass Occupation Medicine, Enid, OK 73701-5737 | 2005-07-20 |
| 1083223325 | Taylor Beth Conaway | Occupational Therapist | 401 S 3rd St, Enid, OK 73701-5737 | 2020-07-22 |
| 1477118669 | Elizabeth Ellis | Physical Therapist | 401 S 3rd St, Enid, OK 73701-5737 | 2019-05-03 |
| 1700349230 | Morgan Leigh Gonzales | Speech-Language Pathologist | 401 S 3rd St, Enid, OK 73701-5737 | 2019-04-11 |
| 1851874341 | Jennifer Kay Williams | Physical Therapy Assistant | 401 S 3rd St, Enid, OK 73701-5737 | 2018-09-11 |
| 1932681681 | Schelby Nicole Robinson | Occupational Therapy Assistant | 401 S 3rd St, Enid, OK 73701-5737 | 2018-08-29 |
| 1427542612 | Vincent D Lauderdale | Physical Medicine & Rehabilitation | 401 S 3rd St, Enid, OK 73701-5737 | 2018-06-20 |
| 1003300203 | Robin Lyn Burchel | Physical Therapist | 401 S 3rd St, Enid, OK 73701-5737 | 2018-06-20 |
| 1669842498 | Ashley R Allen | Nurse Practitioner | 401 S 3rd St, Enid, OK 73701-5737 | 2015-10-06 |
| 1548644388 | Linda Yauk | Dietitian, Registered | 401 S 3rd St, Enid, OK 73701-5737 | 2015-07-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407318595 | Sheila Watkins | Speech-Language Pathologist | 401 S. 3rd St, Physical Therapy, Enid, OK 73701 | 2019-04-05 |
| 1225548993 | Mirannda Lea Shourek | Case Manager/Care Coordinator | 3225 E Randolph, Apt 5a, Enid, OK 73701 | 2017-10-06 |
| 1962942045 | Nicole Elisibeth Hood | Social Worker | 605 W. Oxford St, Enid, OK 73701 | 2017-03-08 |
| 1689027237 | Amanda Partridge | Physician Assistant | 231 S. 30th St., Enid, OK 73701 | 2016-07-19 |
| 1134576952 | Keli Lanee Caffey | Counselor | 317 W. Cherokee Suite B, Enid, OK 73701 | 2016-05-22 |
| 1447670559 | Tamica Webster | Counselor | 1137 Hillside Dr, Enid, OK 73701 | 2014-04-16 |
| 1881024024 | Misty Ward | Registered Nurse | 600 S. Monroe, Enid, OK 73701 | 2013-11-26 |
| 1164856944 | Pharmcareok of Enid, Inc. | Pharmacy | 1119a E Owen Garriott Rd, Enid, OK 73701 | 2013-08-28 |
| 1922383421 | Bobby Doyle Taylor | Pharmacist | 902 West Garriott, Enid, OK 73701 | 2011-10-15 |
| 1194009324 | Stacia Paul | Counselor | 121 W. Maple, Enid, OK 73701 | 2011-10-06 |
| Find all providers in zip 73701 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700492618 | Jessica Kearney | Nurse Practitioner | 8116 Nw 161st Ter, Edmond, OK 73013-5510 | 2020-09-17 |
| 1346852191 | Oludari Olutokunbo Olajide | Nurse Practitioner | 10700 N Council Rd Apt 3, Oklahoma City, OK 73162-4366 | 2020-08-21 |
| 1124638192 | Amanda Rushing | Nurse Practitioner | 705 E Atlanta Ave, Davis, OK 73030-2982 | 2020-08-05 |
| 1104435999 | Julie Marie Kelly | Nurse Practitioner | 1615 S Eucalyptus Ave Ste 210, Broken Arrow, OK 74012-5993 | 2020-07-28 |
| 1750999413 | Staci Y Williams | Nurse Practitioner | 5606 Sw Lee Blvd Ste 203, Lawton, OK 73505-9651 | 2020-07-20 |
| 1063030088 | Kristal Ladawn Vasquez | Nurse Practitioner | 4019 North Flood Ave, Normam, OK 73069 | 2020-07-07 |
| 1144847542 | Premier Healthcare, Aprn-cnp | Nurse Practitioner | 12208 South Western Avenue, Suite B, Oklahoma City, OK 73170 | 2020-07-01 |
| 1578184560 | Heather Elaine Fry | Nurse Practitioner | 1908 E Gore Blvd Ste A, Lawton, OK 73501-6129 | 2020-04-30 |
| 1972137511 | Danielle Nicole Hurd | Nurse Practitioner | 1532 N Boston Pl, Tulsa, OK 74106-4104 | 2020-02-22 |
| 1427689215 | Bodyworx Primary Care, LLC | Nurse Practitioner | 4019 N Flood Ave, Norman, OK 73069 | 2020-01-30 |
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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.