Jacquelyn Daine Shaver

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

5004 SE 86TH St
Oklahoma City, OK 73135-6197

Phone

(405) 417-8459

NPI assigned

Nov 11, 2010

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

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

{
    "created_epoch": "1289433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289433600000",
    "number": "1629379383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5004 SE 86TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731356197",
            "telephone_number": "405-417-8459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5004 SE 86TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731356197",
            "telephone_number": "405-417-8459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAVER",
        "first_name": "JACQUELYN",
        "middle_name": "DAINE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-11",
        "last_updated": "2010-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Shattuck
• Braidyn Nicole Shauer
• Annie Clare Shaver
• Breeasha T Shaver
• Jaclyn Danielle Shaver, A.R.N.P.
• Jodie Shavers
• Larry Shavers
• Teresa Marie Shavney, MD
• Abigayle Christine Shaw
• Amie Lyn Shaw, BA, CBHCM 1

• Mental Health Counselor in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2010; 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.