Shamia Pelton

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

699148 Issued in CA

Practice address

10605 E 66TH St Apt 224
Tulsa, OK 74133-2641

Phone

(991) 622-8010

NPI assigned

May 28, 2022

Last updated

May 28, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1653696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653696000000",
    "number": "1013656073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3171 S 129TH EAST AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741343205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10605 E 66TH ST APT 224",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741332641",
            "telephone_number": "991-622-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELTON",
        "first_name": "SHAMIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-28",
        "last_updated": "2022-05-28",
        "certification_date": "2022-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OK",
            "license": "200437",
            "primary": false
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "699148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tea Pegues
• Laura Peiffer
• Bruce Peixotto, NP
• Ika Izchak Peleg, MD
• Russell D Pella, PH.D.
• Frank E Peluso, DO
• Nicholas Ryan Peluso, D.O.
• Pelvic Health Specialists LLC
• Pelvic PT Consultants LLC
• Maggie Lynn Pembrook

• Licensed Vocational Nurse in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Licensed Vocational Nurse in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.