Shanan Zickefoose, RN, COSMETIC TATTOO

Primary specialty

Medical Art Specialist/TechnologistTaxonomy code 246ZA2600X

License

1132 Issued in OK

Practice address

3319 E 46TH St
Suite 100
Tulsa, OK 74135-7413

Phone

(918) 724-5614

NPI assigned

Mar 22, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Shanan Zickefoose Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1332374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1326314428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3319 E 46TH ST STE 100",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352924",
            "telephone_number": "918-724-5614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3319 E 46TH ST",
            "address_2": "SUITE 100",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741357413",
            "telephone_number": "918-724-5614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZICKEFOOSE",
        "first_name": "SHANAN",
        "credential": "RN, COSMETIC TATTOO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-22",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "OK",
            "license": "R0120266",
            "primary": false
        },
        {
            "code": "246ZA2600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Art, Medical",
            "state": "OK",
            "license": "1132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANAN",
            "last_name": "ZICKEFOOSE",
            "credential": "BSN, RN, CPCP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Xian Zhang, CRNA
• Xin Zhang, RD, CNSC, LD
• Yu-Fan Zhang, MD
• Xuemei Zhao, DDS
• Ziad Sous MD Inc PC
• Weston Zickgraf
• Christopher S Ziegler, LMFT
• Sarah A Ziegler, PTA
• Matheus Alves Ziesemer, DO
• Stephan Zigo, DDS

• Medical Art Specialist/Technologist in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Medical Art Specialist/Technologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; 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.