Active NPI
Tori Brooke Shields
- Peer Specialist
- Checotah, OK
National Provider Identifier
1376439810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 504 1/2 SW 2ND St
Checotah, OK 74426-4635 - Phone
- (918) 843-6709
- NPI assigned
- Jun 12, 2025
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
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.
-
- Peer Specialist
- Checotah, OK
- NPI 1518816628
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sobriety Goat | Peer Specialist | Current | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
504 1/2 SW 2ND St
Checotah, OK 74426-4635
Mailing address
504 1/2 SW 2ND St
Checotah, OK 74426-4635
Phone (918) 843-6709
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 5, 2025.
{
"created_epoch": "1749686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762300800000",
"number": "1376439810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "504 1/2 SW 2ND ST",
"city": "CHECOTAH",
"state": "OK",
"postal_code": "744264635",
"telephone_number": "918-843-6709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "504 1/2 SW 2ND ST",
"city": "CHECOTAH",
"state": "OK",
"postal_code": "744264635",
"telephone_number": "918-843-6709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIELDS",
"first_name": "TORI",
"middle_name": "BROOKE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-06-12",
"last_updated": "2025-11-05",
"certification_date": "2025-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Checotah, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.