Active NPI
Shelby Rae Stephens, PA-C
- Medical Physician Assistant
- Edmond, OK
National Provider Identifier
1316319817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 2542
- Practice address
- 65 S Saints Blvd
Edmond, OK 73034-3051 - Phone
- (405) 285-5304
- Fax
- (405) 285-5305
- NPI assigned
- Oct 22, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 2542 | OK | Primary |
Addresses
Primary practice location
65 S Saints Blvd
Edmond, OK 73034-3051
Mailing address
10251 Stone Gate Dr
Arcadia, OK 73007-7520
Phone (405) 323-4198
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 |
|---|---|---|---|
| 2542 | OK | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445472000000",
"number": "1316319817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10251 STONE GATE DR",
"city": "ARCADIA",
"state": "OK",
"postal_code": "730077520",
"telephone_number": "405-323-4198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 S SAINTS BLVD",
"city": "EDMOND",
"state": "OK",
"postal_code": "730343051",
"telephone_number": "405-285-5304",
"fax_number": "405-285-5305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENS",
"first_name": "SHELBY",
"middle_name": "RAE",
"name_prefix": "Miss",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-22",
"last_updated": "2015-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "OK",
"license": "2542",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.