Active NPI
Jessica Alaine Shelton, M.S., CCC-A
- Audiologist
- Stillwater, OK
National Provider Identifier
1194940072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 324
- Practice address
- 116 W 8TH Ave
Stillwater, OK 74074-4602 - Phone
- (405) 312-9358
- NPI assigned
- Apr 16, 2007
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 324 | OK | Primary |
Addresses
Primary practice location
116 W 8TH Ave
Stillwater, OK 74074-4602
Mailing address
116 W 8TH Ave
Stillwater, OK 74074-4602
Phone (405) 624-8605
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1705 E 19TH St
Tulsa, OK 74104-5410
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 324 | OK | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. John Physicians, Inc | Current | Accepting new patients | |
| St. John Physicians, Inc. | Current | Accepting new patients |
Locations
1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345
1705 E 19th St
Ste 304
Tulsa, OK 74104
Phone (918) 748-7660
1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Tulsa, OK
- NPI 1336194406
-
- Rural Health Clinic/Center
- Barnsdall, OK
- NPI 1033176367
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564012800000",
"number": "1194940072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 W 8TH AVE",
"city": "STILLWATER",
"state": "OK",
"postal_code": "740744602",
"telephone_number": "405-624-8605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 W 8TH AVE",
"city": "STILLWATER",
"state": "OK",
"postal_code": "740744602",
"telephone_number": "405-312-9358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHELTON",
"first_name": "JESSICA",
"middle_name": "ALAINE",
"name_prefix": "Ms.",
"credential": "M.S., CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-16",
"last_updated": "2019-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "OK",
"license": "324",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stillwater, OK
- Sheltered Workshop for Payne County, Inc.
- Sheltered Workshop for Payne County, Inc.
- Sheltered Workshop for Payne County, Inc.
- Sheltered Workshop for Payne County, Inc.
- Ashton Nicole Shelton, DC, CACCP, IBCLC
- Megan Shelton, PT
- Miranda Shelton, MSW-P
- Tabryis Shelton
- Tamara M Shepherd
- Chloe Sherrill, SLPA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.