Individual provider Active NPI

Shehnaz Virani

  • Family Nurse Practitioner
  • Moore, OK
National Provider Identifier
1639709504
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R0118938 Issued in OK
Practice address
2990 SE 19TH St Ste 6
Moore, OK 73160-9659
Phone
(405) 252-5522
Fax
(405) 463-1477
NPI assigned
Jan 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R0118938 OK Primary

Addresses

Primary practice location

2990 SE 19TH St Ste 6
Moore, OK 73160-9659

Mailing address

2990 SE 19TH St Ste 6
Moore, OK 73160-9659
Phone (405) 308-8008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200313001237 OK Practitioner - Nurse Practitioner 1850729468 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Karefirst Oklahoma PCGroup PAC ID 1456883891, 9 clinicians

Practice addresses (Care Compare)

2990 SE 19TH St
Suite 6
Moore, OK 73160-9659
Phone (405) 308-8008

4300 W Houston St
Broken Arrow, OK 74012-4519
Phone (918) 254-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Karefirst Oklahoma PC CurrentSince Nov 7, 2024 Accepting new patients
Moore Family Care & Wellness LLC Family CurrentSince Jan 7, 2025 Accepting new patients
Provider Partners Care Management LP CurrentSince May 1, 2025 Accepting new patients
Moore Care LLC CurrentSince Sep 1, 2023 Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (317) 701-2379

4300 W Houston St
Broken Arrow, OK 74012
Phone (918) 250-1700

205 E Poplar St
Fort Gibson, OK 74434
Phone (918) 478-2456

2990 SE 19th St
Ste 6
Moore, OK 73160
Phone (405) 252-5522

507 NE 12th St
Moore, OK 73160
Phone (405) 237-9955

1200 E Wrangler Blvd
Seminole, OK 74868
Phone (405) 382-1127

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CBEIDD/Endpoint/CBEIDD

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1579478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1639709504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2990 SE 19TH ST STE 6",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731609659",
            "telephone_number": "405-308-8008",
            "fax_number": "405-463-1477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2990 SE 19TH ST STE 6",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731609659",
            "telephone_number": "405-252-5522",
            "fax_number": "405-463-1477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIRANI",
        "first_name": "SHEHNAZ",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-20",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R0118938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moore, OK

Sources for this page

Verify at the official NPI Registry.