Individual provider Active NPI

Sheney Redmond

  • Physician Assistant
  • Hooker, OK
National Provider Identifier
1447086566
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15-03251 Issued in KS
Practice address
101 Glaydas St
Hooker, OK 73945
Phone
(580) 652-1100
NPI assigned
Sep 13, 2024
Last updated
May 11, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X 15-03251 KS Primary

Addresses

Primary practice location

101 Glaydas St
Hooker, OK 73945

Mailing address

PO Box 771
Hooker, OK 73945-0771

Other practice location 1

445 W 15th St
Liberal, KS 67901-2464
Phone (620) 417-9012

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, KS2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250110000653 OK Practitioner - Physician Assistant 9032647656 Reassigns benefits to 2 organizations
I20260515000731 KS Practitioner - Physician Assistant 9032647656 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hooker Medical Clinic, LLCGroup PAC ID 5698097434, 2 clinicians

Practice addresses (Care Compare)

101 W Glaydas
Hooker, OK 73945-1092
Phone (580) 652-1100

PO Box
Suite 1092
Hooker, OK 73945-1092

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5416OKMDPhysical Therapist
15-03251KSMDPhysician Assistant

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1726185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1447086566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 771",
            "city": "HOOKER",
            "state": "OK",
            "postal_code": "739450771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 GLAYDAS ST",
            "city": "HOOKER",
            "state": "OK",
            "postal_code": "73945",
            "telephone_number": "580-652-1100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "445 W 15th St",
            "address_purpose": "LOCATION",
            "city": "Liberal",
            "state": "KS",
            "postal_code": "679012464",
            "country_code": "US",
            "telephone_number": "620-417-9012",
            "fax_number": "620-417-9013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDMOND",
        "first_name": "SHENEY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-13",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-03251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hooker, OK

Sources for this page

Verify at the official NPI Registry.