Latina D Shelley, APRN, CPNP-PC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

R0106308 Issued in OK

Practice address

2921 SW 89TH St
Oklahoma City, OK 73159-6332

Phone

(405) 757-7818

Fax

(405) 703-0645

NPI assigned

Jul 13, 2012

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)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.973232
• FHIR API: https://fhir4.healow.com/fhir/r4/DBIICD/Endpoint/DBIICD

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.

• Bright Future Pediatrics

  • Clinic/Center
  • Broken Arrow, OK
  • NPI 1265052369

  Pediatrics

  NPD
• Aky MD, LLC

  dba Just Kids Pediatrics

  • Pediatrics Physician
  • Moore, OK
  • NPI 1063846699
  NPD (past)
• Ortho Stat LLC

  • Urgent Care Clinic/Center
  • Moore, OK
  • NPI 1093620197
  NPD (past)

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

{
    "created_epoch": "1342137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1083969240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 891625",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731891625",
            "telephone_number": "405-237-3770",
            "fax_number": "405-703-0645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2921 SW 89TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731596332",
            "telephone_number": "405-757-7818",
            "fax_number": "405-703-0645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELLEY",
        "first_name": "LATINA",
        "middle_name": "D",
        "credential": "APRN, CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-13",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OK",
            "license": "R0106308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Shell, LCSW
• Jessica Erin Shell, RRT-NPS
• Mark Edward Shell
• Amanda Deanne Shelley
• Julie Shelley, D.O.
• Ralisha Revelyn Shelley
• Breanna Leigh Shellhorse
• Brent Alan Shellman, P.T.
• Shelly Jacobs MD PLLC (Suboxone and Wellness Clinic)
• Alexis Shelton, APRN, FNP-C

• Pediatric Nurse Practitioner in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Pediatric Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; 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.