Individual provider Active NPI

Shelby Brenan Tate, M.D.

  • Neonatal-Perinatal Medicine Physician
  • Tulsa, OK
National Provider Identifier
1235523465
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
45068 Issued in OK
Practice address
6151 S Yale Ave # Levelb
Tulsa, OK 74136-1907
Phone
(918) 502-6097
NPI assigned
Mar 25, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0065713 CO
Neonatal-Perinatal Medicine Physician 2080N0001X 0065713 CO
Student in an Organized Health Care Education/Training Program 390200000X
Neonatal-Perinatal Medicine Physician 2080N0001X 45068 OK Primary

Addresses

Primary practice location

6151 S Yale Ave # Levelb
Tulsa, OK 74136-1907

Mailing address

1400 E Boulder St # 3593
Colorado Springs, CO 80909-5533

Other practice location 1

1400 E Boulder St # 3593
Colorado Springs, CO 80909-5533
Phone (214) 456-5518

Other practice location 2

300 Rockefeller Dr
Muskogee, OK 74401-5075
Phone (918) 502-6097

Other practice location 3

10501 E 91st St
Tulsa, OK 74133-5790
Phone (918) 502-6097

Other names 1

  • Shelby Brooke Brenan Former name

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0065713COMDPediatrics Physician
45068OKMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Uch-MHS Past Accepting new patients
Warren Clinic Inc PastSince Apr 20, 2025 Accepting new patients
Parkview Medical Center, Inc. Past Accepting new patients
Saint Francis Hospital, Inc. Past Accepting new patients
Children'S Hospital Colorado Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: state360828@direct.saintfrancis.com

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1235523465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E BOULDER ST # 3593",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809095533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6151 S YALE AVE # LEVELB",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741361907",
            "telephone_number": "918-502-6097"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 E Boulder St # 3593",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809095533",
            "country_code": "US",
            "telephone_number": "214-456-5518",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Rockefeller Dr",
            "address_purpose": "LOCATION",
            "city": "Muskogee",
            "state": "OK",
            "postal_code": "744015075",
            "country_code": "US",
            "telephone_number": "918-502-6097",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10501 E 91st St",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741335790",
            "country_code": "US",
            "telephone_number": "918-502-6097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TATE",
        "first_name": "SHELBY",
        "middle_name": "BRENAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-25",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "0065713",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "CO",
            "license": "0065713",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "OK",
            "license": "45068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELBY",
            "last_name": "BRENAN",
            "middle_name": "BROOKE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Apr 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.