Individual provider Active NPI

Shannon Marie Delaney, DO

  • Pediatrics Physician
  • Broken Arrow, OK
National Provider Identifier
1730744160
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
6967 Issued in OK
Practice address
817 S Elm PL
Broken Arrow, OK 74012-5369
Phone
(918) 928-5437
Fax
(888) 720-8944
NPI assigned
May 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 6967 OK Primary

Addresses

Primary practice location

817 S Elm PL
Broken Arrow, OK 74012-5369

Mailing address

7711 E 111TH St Ste 112
Tulsa, OK 74133-2563
Phone (918) 928-5437

Other practice location 1

7711 E 111th St Ste 112
Tulsa, OK 74133-2563
Phone (918) 928-5437

Other names 1

  • Shannon McBeath Former name

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
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
6967OKMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Future Pediatrics Pediatrics PastSince Oct 4, 2020 Accepting new patients
Ahs Southcrest Hospital, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sdelaney28398@ouhealth.direct-ci.net
  • Direct secure messaging: sdelaney266012@ahs.direct-ci.com

Organizations & group practices 2

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": "1556668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1730744160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7711 E 111TH ST STE 112",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741332563",
            "telephone_number": "918-928-5437",
            "fax_number": "888-720-8944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 S ELM PL",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740125369",
            "telephone_number": "918-928-5437",
            "fax_number": "888-720-8944"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7711 E 111th St Ste 112",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741332563",
            "country_code": "US",
            "telephone_number": "918-928-5437",
            "fax_number": "888-720-8944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELANEY",
        "first_name": "SHANNON",
        "middle_name": "MARIE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-01",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OK",
            "license": "6967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "MCBEATH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Broken Arrow, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.

Verify at the official NPI Registry.