Active NPI
James Ray Sheldon, CNA/PRSS
- Peer Specialist
- Tulsa, OK
National Provider Identifier
1114636784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 6333 E Skelly Dr
Tulsa, OK 74135-6106 - Phone
- (918) 779-7216
- Fax
- (918) 663-0203
- NPI assigned
- Nov 22, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 37V108515072 | OK | |
| Peer Specialist | 175T00000X | OK | Primary |
Addresses
Primary practice location
6333 E Skelly Dr
Tulsa, OK 74135-6106
Mailing address
6333 E Skelly Dr
Tulsa, OK 74135-6106
Phone (918) 779-7216
Other practice location 1
3723 S Galveston Ave
Tulsa, OK 74107-5827
Phone (918) 889-8043
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | James.sheldon@creoks.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37V108515072 | OK | MD | Nurse's Aide |
Interoperability endpoints
- james.sheldon@creoks.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694649600000",
"number": "1114636784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6333 E SKELLY DR",
"city": "TULSA",
"state": "OK",
"postal_code": "741356106",
"telephone_number": "918-779-7216",
"fax_number": "918-663-0203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6333 E SKELLY DR",
"city": "TULSA",
"state": "OK",
"postal_code": "741356106",
"telephone_number": "918-779-7216",
"fax_number": "918-663-0203"
}
],
"practiceLocations": [
{
"address_1": "3723 S Galveston Ave",
"address_purpose": "LOCATION",
"city": "Tulsa",
"state": "OK",
"postal_code": "741075827",
"country_code": "US",
"telephone_number": "918-889-8043",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHELDON",
"first_name": "JAMES",
"middle_name": "RAY",
"credential": "CNA/PRSS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-11-22",
"last_updated": "2023-09-14",
"certification_date": "2023-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "OK",
"license": "37V108515072",
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "OK",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "James.sheldon@creoks.org",
"affiliation": "N",
"endpointDescription": "Work secure email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "23 E Ross Ave",
"city": "Sapulpa",
"state": "OK",
"country_code": "US",
"postal_code": "740666423",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.