Organization Active NPI

Shadow Nursing Allied Health LLC

  • Case Management Registered Nurse
  • Oklahoma City, OK
National Provider Identifier
1346163052
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
Legal business name
SHADOW NURSING ALLIED HEALTH LLC
Practice address
613 NW 117TH St
Oklahoma City, OK 73114-7922
Phone
(405) 824-1378
NPI assigned
Jul 31, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Authorized official

Name
Monica A TuckerNPI 1558223099
Title
RN Administrator
Phone
(405) 824-1378

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X
Case Management Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WC0400X Primary

Addresses

Primary practice location

613 NW 117TH St
Oklahoma City, OK 73114-7922

Mailing address

613 NW 117TH St
Oklahoma City, OK 73114-7922
Phone (405) 824-1378

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1785456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785456000000",
    "number": "1346163052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 NW 117TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731147922",
            "telephone_number": "405-824-1378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 NW 117TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731147922",
            "telephone_number": "405-824-1378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHADOW NURSING ALLIED HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-31",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-30",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "RN ADMINISTRATOR",
        "authorized_official_telephone_number": "405-824-1378"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.