Tamara Karen McDonough

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

493889 Issued in CA

Practice address

112 Valley Rim CT
Shawnee, OK 74804-8925

Phone

(405) 273-7678

NPI assigned

Oct 22, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193011200000",
    "number": "1245429596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 VALLEY RIM CT",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748048925",
            "telephone_number": "405-273-7678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 VALLEY RIM CT",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748048925",
            "telephone_number": "405-273-7678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONOUGH",
        "first_name": "TAMARA",
        "middle_name": "KAREN",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-22",
        "last_updated": "2007-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "493889",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OK",
            "license": "0065709",
            "primary": false
        },
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "MD",
            "license": "2007002506-32",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lacey McCrary
• Rodney O McCrory, D.O.
• Cassidy Renee McCullough, OTR/L
• Garrett McDaniel
• Kristina Leighann McDonald, IBCLC
• Hayley Elizabeth McDougal, DDS
• Rita McDowell
• Anna McEndree
• Ethan Christopher McGill
• Ariana McGough

• Registered Nurse in Shawnee, OK
• Providers in Shawnee, OK by specialty
• Registered Nurse in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; 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.