Shondra Deon Marzett

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

11428 E 20TH St Ste a
Tulsa, OK 74128-6452

Phone

(918) 878-7882

NPI assigned

Apr 25, 2013

Last updated

Apr 25, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Creoks Behavioral Health Servicces

  • Community/Behavioral Health Agency
  • Tulsa, OK
  • NPI 1720383516
  Authorized official Same address or phone

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

{
    "created_epoch": "1366848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366848000000",
    "number": "1578907150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10711 E 30TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741297809",
            "telephone_number": "918-851-2129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11428 E 20TH ST STE A",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741286452",
            "telephone_number": "918-878-7882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARZETT",
        "first_name": "SHONDRA",
        "middle_name": "DEON",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-25",
        "last_updated": "2013-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Michelle Martyniuk, LMSW
• McKenzie Marx
• Mary C Kirk MD, PLLC
• Frehiwot Marye
• Candace Dawn Marzett
• Samuel Tobey Marzouk, MA
• Jaci Mashburn
• Kristen Ann Mashburn, APRN-CNP
• Hafsat Umar Mashegu, MD
• Mashovin Home Health Care, Inc.

• 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 Apr 25, 2013; 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.