Blueprint Signature Services LLC

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

BLUEPRINT SIGNATURE SERVICES LLC

Practice address

112 W Delmar St.
Broken Arrow, OK 74012

Phone

(855) 395-0763

Fax

(918) 895-0969

NPI assigned

Dec 3, 2025

Last updated

Dec 3, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shakeia Lashae GillNPI 1275973653

Title

Owner

Phone

(918) 841-2359

Specialties & licenses 1

Addresses

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.

• Shakeia Lashae Gill, RN

  • Registered Nurse
  • Tulsa, OK
  • NPI 1275973653
  NPD Authorized official

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

{
    "created_epoch": "1764720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764720000000",
    "number": "1376406850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3171 S 129TH EAST AVE STE A-2082",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741343205",
            "telephone_number": "855-395-0763",
            "fax_number": "918-895-0969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W DELMAR ST.",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "74012",
            "telephone_number": "855-395-0763",
            "fax_number": "918-895-0969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEPRINT SIGNATURE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-03",
        "last_updated": "2025-12-03",
        "certification_date": "2025-11-20",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "SHAKEIA",
        "authorized_official_middle_name": "LASHAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-841-2359"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Blansett
• Zachary Blanton, DC
• Bliss Dialysis LLC (Berkshire Home Training)
• Shanae Block
• Sarah E Blotevogel, DPT
• Board of Regents of the University of Oklahoma Ou Physicians Tulsa (OU Physicians Tulsa CSOS Broken Arrow)
• Sally Margaret Bock X, DDS
• Julie Genet Bohanon, MA, CCC-SLP
• Chelsea Marie Bois
• Daniel Boland, MS

• Physiological Laboratory in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Physiological Laboratory in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; 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.