Active NPI
Sherell Dominque Jones, LPN
- Licensed Practical Nurse
- Tulsa, OK
National Provider Identifier
1629961495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 58568
- Practice address
- 6636 S Victor Ave
Tulsa, OK 74136-2401 - Phone
- (918) 576-8484
- NPI assigned
- May 31, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 58568 | OK | Primary |
Addresses
Primary practice location
6636 S Victor Ave
Tulsa, OK 74136-2401
Mailing address
6636 S Victor Ave
Tulsa, OK 74136-2401
Phone (918) 576-8484
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58568 | OK | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748649600000",
"number": "1629961495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6636 S VICTOR AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741362401",
"telephone_number": "918-576-8484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6636 S VICTOR AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741362401",
"telephone_number": "918-576-8484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "SHERELL",
"middle_name": "DOMINQUE",
"name_prefix": "Mrs.",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-31",
"last_updated": "2025-05-31",
"certification_date": "2025-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OK",
"license": "58568",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.