Shannon Caudillo

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

1189 Issued in OK

Practice address

3001 Wexford Ave
Oklahoma City, OK 73179-1248

Phone

(405) 664-5290

NPI assigned

Apr 6, 2022

Last updated

Apr 6, 2022By 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

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": "1649203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1710628383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 WEXFORD AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731791248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 WEXFORD AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731791248",
            "telephone_number": "405-664-5290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAUDILLO",
        "first_name": "SHANNON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-06",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OK",
            "license": "1189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yolanda Yvette Cato, LPN
• Debbie A Catteeuw
• Deonna M Cattledge
• Elise Caudill
• Cynthia Marie Caudillo, RD/LD
• Hayley Caudle
• Jessica Nicole Caudle
• Kristy R Caudle
• Matthew David Caudle, M.D.
• Stephanie Caughlin

• Occupational Therapy Assistant in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Occupational Therapy Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; 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.