Shanda Alls
Individual provider Active NPI Licensed Practical Nurse · Moore, OK
NPI 1467262188 · NPPES record last updated Jan 14, 2025
Key facts
- NPI
- 1467262188
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- L0060003 (OK)
- Practice address
- 805 N Platt Cir
Moore, OK 73170-1115 - Phone
- (405) 953-3265
- NPI assigned
- Jan 14, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L0060003 | OK | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Recovery Care Clinic/Center | 261QR0800X | |||
| Peer Specialist | 175T00000X | |||
| Licensed Practical Nurse | 164W00000X | L0060003 | OK | Yes |
Addresses
Primary practice location
805 N Platt Cir
Moore, OK 73170-1115
Mailing address
805 N Platt Cir
Moore, OK 73170-1115
Phone (405) 953-3265
Other providers in Moore, OK
- Lauren Michelle Alcorn
- Jennifer Marie Alexander
- Linsey Nicole Alexander
- All Heart Pediatric Therapy LLC
- Rachelle Nacole Allen
- Anchor Ministry Inc
- Erin Anderle
- Regina Anders
- Amber D Anderson
- Angela Jokhi Anderson
All providers in Moore, OK · Licensed Practical Nurse in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.