Active NPI
Shawn Glen Jones, LPN
- Licensed Practical Nurse
- Tulsa, OK
National Provider Identifier
1215441084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 0052412
- Practice address
- 6126 E 32ND PL
Tulsa, OK 74135-5406 - Phone
- (918) 394-2256
- NPI assigned
- Nov 30, 2017
- Last updated
- Nov 30, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 0052412 | OK | Primary |
Addresses
Primary practice location
6126 E 32ND PL
Tulsa, OK 74135-5406
Mailing address
15619 S Birch Ave
Glenpool, OK 74033-4416
Phone (918) 932-6012
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 |
|---|---|---|---|
| 0052412 | OK | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counseling & Recovery Services of Oklahoma, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Tulsa, OK
- NPI 1518611862
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512000000000",
"number": "1215441084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15619 S BIRCH AVE",
"city": "GLENPOOL",
"state": "OK",
"postal_code": "740334416",
"telephone_number": "918-932-6012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6126 E 32ND PL",
"city": "TULSA",
"state": "OK",
"postal_code": "741355406",
"telephone_number": "918-394-2256"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "SHAWN",
"middle_name": "GLEN",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-11-30",
"last_updated": "2017-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OK",
"license": "0052412",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Nov 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.