Shannon Renae Gulbranson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3737 Issued in OK

Practice address

1335 E 11TH St Ste a
Tulsa, OK 74120-4634

Phone

(918) 005-4452

NPI assigned

May 23, 2007

Last updated

May 7, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Shannon Renae Subramaniam Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Healing Life Chiropractic, P.C.

  • Exclusive Provider Organization
  • Tulsa, OK
  • NPI 1972740264
  Authorized official Same address or phone
• Ctca Physicans Group of Oklahoma, Inc

  • Specialist
  • Tulsa, OK
  • NPI 1053309591
  NPD (past)

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1497965057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 E 11TH ST STE A",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741204634",
            "telephone_number": "918-500-4452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 E 11TH ST STE A",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741204634",
            "telephone_number": "918-005-4452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULBRANSON",
        "first_name": "SHANNON",
        "middle_name": "RENAE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2024-05-07",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "SUBRAMANIAM",
            "middle_name": "RENAE",
            "prefix": "DR.",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shalea Guillory
• Theresa Guillory, M.ED. CCC-SLP
• Amy Guinn, LCSW
• Carmen Rochelle Guinn, LMSW
• Vumlamching Guite
• Judyth Gulden
• Gulf Coast Medical Equipment Co LLC (National Durable Medical)
• Keerthi Gullapalli, MD
• Cera Jane Gulledge
• Tamara Desha Gulley, MSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.