Shelby Nicole Betsey, RT(R), CHR

Individual provider Active NPI Radiography Radiologic Technologist · Miami, OK

NPI 1235848417 · NPPES record last updated Nov 16, 2022

Key facts

NPI
1235848417
Entity type
Individual (NPI type 1)
Primary specialty
Radiography Radiologic Technologist 2471C3402X
License
22-05459 (KS)
Practice address
118 S Eight Tribes TRL
Miami, OK 74354-1002
Phone
(918) 540-2535
NPI assigned
Nov 16, 2022
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
22-05459KSMDRadiography Radiologic Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Peoria Tribe of Indians of Oklahoma Current
since Nov 20, 2022
Accepting new patients

Locations

118 S Eight Tribes Trl
Miami, OK 74354
Phone (918) 325-0666

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Radiography Radiologic Technologist 2471C3402X 22-05459 KS Yes

Addresses

Primary practice location

118 S Eight Tribes TRL
Miami, OK 74354-1002

Mailing address

118 S Eight Tribes TRL
Miami, OK 74354-1002
Phone (918) 540-2535

Other providers in Miami, OK

All providers in Miami, OK · Radiography Radiologic Technologist in Oklahoma

Sources for this page

Verify at the official NPI Registry.