Shannon Renee Tucker

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

7777 E US Highway 66
El Reno, OK 73036-9125

Phone

(405) 422-8800

Fax

(405) 422-8818

NPI assigned

Dec 27, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1293408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293408000000",
    "number": "1073817565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 E US HIGHWAY 66",
            "city": "EL RENO",
            "state": "OK",
            "postal_code": "730369125",
            "telephone_number": "405-422-8800",
            "fax_number": "405-422-8818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 E US HIGHWAY 66",
            "city": "EL RENO",
            "state": "OK",
            "postal_code": "730369125",
            "telephone_number": "405-422-8800",
            "fax_number": "405-422-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "SHANNON",
        "middle_name": "RENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-27",
        "last_updated": "2010-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Gabrielle Tillery
• Elizabeth Tom, QBHP
• Trevor White, O.D., P.C.
• Angela Trujillo
• Lori Lee Tsosie, P.T.
• April Lee Tull
• Latasha A Turner, RDH
• Angela Upton, APRN-CNP
• US Dept of Justice
• US PHS Federal Bureau of Prisons

• Mental Health Counselor in El Reno, OK
• Providers in El Reno, OK by specialty
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2010; 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.