Active NPI
Shaleen Fay Colton
- Peer Specialist
- Ponca City, OK
National Provider Identifier
1134774052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 110 N 4TH St
Ponca City, OK 74601-4527 - Phone
- (580) 749-5056
- NPI assigned
- Aug 7, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Primary |
Addresses
Primary practice location
110 N 4TH St
Ponca City, OK 74601-4527
Mailing address
419 W 11TH St
Newkirk, OK 74647-5512
Phone (620) 660-5854
Other practice location 1
419 W 11th St
Newkirk, OK 74647-5512
Phone (620) 660-5854
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567555200000",
"number": "1134774052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "419 W 11TH ST",
"city": "NEWKIRK",
"state": "OK",
"postal_code": "746475512",
"telephone_number": "620-660-5854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 N 4TH ST",
"city": "PONCA CITY",
"state": "OK",
"postal_code": "746014527",
"telephone_number": "580-749-5056"
}
],
"practiceLocations": [
{
"address_1": "419 W 11th St",
"address_purpose": "LOCATION",
"city": "Newkirk",
"state": "OK",
"postal_code": "746475512",
"country_code": "US",
"telephone_number": "620-660-5854",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLTON",
"first_name": "SHALEEN",
"middle_name": "FAY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-07",
"last_updated": "2019-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ponca City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.