Sherelle Mignon Peters

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

4004 W 55TH PL
Tulsa, OK 74107-9526

Phone

(918) 706-8058

NPI assigned

Oct 13, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1350086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350086400000",
    "number": "1386996429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4004 W 55TH PL",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741079526",
            "telephone_number": "918-706-8058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4004 W 55TH PL",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741079526",
            "telephone_number": "918-706-8058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "SHERELLE",
        "middle_name": "MIGNON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-13",
        "last_updated": "2012-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Peters, PA-C
• Michelle S. Peters, DNP, APRN-CNP
• Paul Peters
• Precious Peters
• Shannen Michon Peters
• Victoria Lee Peters, LPC
• Walter James Peters Jr., MD
• Elizabeth Ann Petersen
• Madison Paige Petersen, BSW
• Wallis Petersen

• Counselor in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2012; 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.