Shana Hartley, RN, IBCLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

75871 Issued in OK

Practice address

803 N Foreman St
Suite 102
Vinita, OK 74301-1435

Phone

(918) 256-2261

Fax

(918) 256-2304

NPI assigned

Oct 16, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Dr.Mickey Tyrrell, M.D. PLLC

  • Family Medicine Physician
  • Vinita, OK
  • NPI 1598962771
  NPD (past)

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

{
    "created_epoch": "1350345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350345600000",
    "number": "1275886194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 N FOREMAN ST",
            "address_2": "SUITE 102",
            "city": "VINITA",
            "state": "OK",
            "postal_code": "743011435",
            "telephone_number": "918-256-2261",
            "fax_number": "918-256-2304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 N FOREMAN ST",
            "address_2": "SUITE 102",
            "city": "VINITA",
            "state": "OK",
            "postal_code": "743011435",
            "telephone_number": "918-256-2261",
            "fax_number": "918-256-2304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTLEY",
        "first_name": "SHANA",
        "credential": "RN, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-16",
        "last_updated": "2012-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "OK",
            "license": "75871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Kate Harland, PHARM D
• Jaremiah Lee Harris Sr.
• Chrsitina Hart
• Joseph Hart, R.N.
• Blayze Ryker Harter
• Harvesting Hope Recovery
• Paul J Hawkins
• Stasia Michelle Hayes
• Heather Haynes
• Richard Hays

• Lactation Consultant (Registered Nurse) in Vinita, OK
• Providers in Vinita, OK by specialty
• Lactation Consultant (Registered Nurse) in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; 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.