Active NPI
Kristina Valentino, APRN
- Pediatric Nurse Practitioner
- Moore, OK
National Provider Identifier
1154708089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 103749
- Practice address
- 400 N Eastern Ave
Moore, OK 73160-5833 - Phone
- (405) 757-7818
- Fax
- (888) 673-6461
- NPI assigned
- Apr 29, 2015
- Last updated
- Dec 9, 2015
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 103749 | OK | Primary |
Addresses
Primary practice location
400 N Eastern Ave
Moore, OK 73160-5833
Mailing address
PO Box 891625
Oklahoma City, OK 73189-1625
Phone (405) 757-7818
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200582500A | Medicaid | OK |
Other names 1
- Kristina Shokat
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103749 | OK | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aky MD, LLC | Past | Accepting new patients | |
| Norman Regional Hospital Authority | Past | Accepting new patients | |
| Norman Pediatric Associates | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.973232
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- Norman, OK
- NPI 1710926183
-
dba Norman Regional
- General Acute Care Hospital
- Norman, OK
- NPI 1700882578
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449619200000",
"number": "1154708089",
"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": "405-757-7818",
"fax_number": "888-673-6461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 N EASTERN AVE",
"city": "MOORE",
"state": "OK",
"postal_code": "731605833",
"telephone_number": "405-757-7818",
"fax_number": "888-673-6461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALENTINO",
"first_name": "KRISTINA",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-29",
"last_updated": "2015-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "OK",
"license": "103749",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200582500A",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTINA",
"last_name": "SHOKAT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Moore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.