Individual provider Active NPI

Tausha Zann Shelton, ARNP-CNP

  • Family Nurse Practitioner
  • Ardmore, OK
National Provider Identifier
1023251360
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R0054948 Issued in OK
Practice address
1116 Walnut Dr
Ardmore, OK 73401-2353
Phone
(580) 226-0543
Fax
(580) 226-2284
NPI assigned
Apr 16, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R0054948 OK Primary

Addresses

Primary practice location

1116 Walnut Dr
Ardmore, OK 73401-2353

Mailing address

731 12TH Ave NW
Suite #201
Ardmore, OK 73401-5761
Phone (580) 224-9000

Other identifiers 1

IdentifierTypeStateIssuer
200237680AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111130000326 OK Practitioner - Nurse Practitioner 4183898273 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Good Shepherd Community Clinic, Inc.Group PAC ID 4284936337, 19 clinicians

Practice addresses (Care Compare)

1116 Walnut Dr
Ardmore, OK 73401-2353
Phone (580) 223-3411

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R0054948OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Good Shepherd Community Clinic, Inc. CurrentSince Oct 3, 2022 Accepting new patients
Mercy Hospital Ardmore, Inc. Past Accepting new patients

Locations

1104 Walnut Dr
Ardmore, OK 73401
Phone 5802233411308

2401 N Commerce St
Ardmore, OK 73401
Phone (580) 226-0410

1116 Walnut Dr
Ardmore, OK 73401
Phone (580) 226-0543

2401 N Commerce St
Ste A
Ardmore, OK 73401
Phone (580) 798-4122

20 12th Ave NW
Ardmore, OK 73401
Phone (580) 223-3411

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21725/brand/1/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1239840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1023251360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 12TH AVE NW",
            "address_2": "SUITE #201",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734015761",
            "telephone_number": "580-224-9000",
            "fax_number": "580-224-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 WALNUT DR",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734012353",
            "telephone_number": "580-226-0543",
            "fax_number": "580-226-2284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "TAUSHA",
        "middle_name": "ZANN",
        "credential": "ARNP-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-16",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R0054948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200237680A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardmore, OK

Sources for this page

Verify at the official NPI Registry.