Individual provider Active NPI

Shayna Tanise Walker, M.D

  • Family Medicine Physician
  • Tulsa, OK
National Provider Identifier
1760688295
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
44058 Issued in OK
Practice address
3171 S 129TH East Ave Ste a
Tulsa, OK 74134-3215
Phone
(619) 578-9225
NPI assigned
Jun 22, 2007
Last updated
Jan 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2011-01965 NC
Family Medicine Physician 207Q00000X A107393 CA
Family Medicine Physician 207Q00000X 44058 OK Primary
Psychiatry Physician 2084P0800X 2011-01965 NC
Psychiatry Physician 2084P0800X A107393 CA

Addresses

Primary practice location

3171 S 129TH East Ave Ste a
Tulsa, OK 74134-3215

Mailing address

22325 Gosling Rd
Spring, TX 77389-4409
Phone (281) 724-7980

Other practice location 1

601 S Harbour Island Blvd Ste 109
Tampa, FL 33602-5927
Phone (619) 578-9225

Other practice location 2

3171 S 129th East Ave Ste A
Tulsa, OK 74134-3215
Phone (918) 205-4681

Other identifiers 5

IdentifierTypeStateIssuer
NC7241AOtherNCMEDICARE
5920366MedicaidNC
172W0OtherNCBLUE CROSS BLUE SHILED OF NC
252985OtherNCMEDCOST, LLC
5920813MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX, PA, IL, AL, KY, GA, NJ, MD, CO, MS, MI, WI, AZ, KS, LA, NE, FL, NV, UT, TN, VA, IA, MO, MT, MN, ID, WA, IN, OH, AR31 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 31

Enrollment IDStateProvider typePAC IDDetails
I20130904000172 CA Practitioner - PsychiatryPractitioner - Family Practice 0446406714 Reassigns benefits to 4 organizations
I20241104001020 TX Practitioner - Family PracticePractitioner - Psychiatry 0446406714 Reassigns benefits to 2 organizations
I20250605000297 PA Practitioner - Family PracticePractitioner - Psychiatry 0446406714 Reassigns benefits to 2 organizations
I20250609000565 IL Practitioner - Family PracticePractitioner - Psychiatry 0446406714
I20250613003052 AL Practitioner - Family Practice 0446406714 Reassigns benefits to 1 organization
I20250619000257 KY Practitioner - Family PracticePractitioner - Psychiatry 0446406714 Reassigns benefits to 1 organization
I20250624000919 GA Practitioner - Family Practice 0446406714 Reassigns benefits to 1 organization
I20250701001553 NJ Practitioner - Family PracticePractitioner - Psychiatry 0446406714 Reassigns benefits to 2 organizations
I20250701002487 MD Practitioner - Family PracticePractitioner - Psychiatry 0446406714 Reassigns benefits to 1 organization
I20250701003198 CO Practitioner - Family PracticePractitioner - Psychiatry 0446406714 Reassigns benefits to 1 organization
I20250701003970 MS Practitioner - Family PracticePractitioner - Psychiatry 0446406714 Reassigns benefits to 1 organization
I20250702002532 MI Practitioner - Family Practice 0446406714 Reassigns benefits to 2 organizations
I20250707002414 WI Practitioner - Family Practice 0446406714
I20250709001677 AZ Practitioner - General Practice 0446406714 Reassigns benefits to 1 organization
I20250711002926 KS Practitioner - Family PracticePractitioner - Psychiatry 0446406714 Reassigns benefits to 1 organization
I20250714001153 LA Practitioner - Family PracticePractitioner - Psychiatry 0446406714 Reassigns benefits to 1 organization
I20250714003448 NE Practitioner - Family Practice 0446406714 Reassigns benefits to 1 organization
I20250728003845 FL Practitioner - Family Practice 0446406714 Reassigns benefits to 2 organizations
I20250730004184 NV Practitioner - Family PracticePractitioner - Psychiatry 0446406714 Reassigns benefits to 1 organization
I20250730004323 UT Practitioner - Family Practice 0446406714 Reassigns benefits to 1 organization
I20250731001317 TN Practitioner - Family Practice 0446406714 Reassigns benefits to 1 organization
I20250808000912 VA Practitioner - Family Practice 0446406714 Reassigns benefits to 1 organization
I20250811003782 IA Practitioner - Family Practice 0446406714 Reassigns benefits to 1 organization
I20250812000990 MO Practitioner - Family Practice 0446406714 Reassigns benefits to 1 organization
I20250819001605 MT Practitioner - Family Practice 0446406714 Reassigns benefits to 1 organization
I20250916004113 MN Practitioner - Family Practice 0446406714 Reassigns benefits to 1 organization
I20251016003762 ID Practitioner - Family Practice 0446406714 Reassigns benefits to 1 organization
I20260123002488 WA Practitioner - General PracticePractitioner - Psychiatry 0446406714 Reassigns benefits to 1 organization
I20260123003056 IN Practitioner - General PracticePractitioner - Psychiatry 0446406714 Reassigns benefits to 1 organization
I20260226003173 OH Practitioner - General PracticePractitioner - Psychiatry 0446406714 Reassigns benefits to 1 organization
I20260628000206 AR Practitioner - PsychiatryPractitioner - General Practice 0446406714 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Albert Einstein College of Medicine of Yeshiva University, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Relatyv Mobile Medical LLCGroup PAC ID 4082130109, shared by 32 NPIs, 4 clinicians
Aspen Family Medical Group of Modesto, Inc.Group PAC ID 4183615248, 4 clinicians
Ohana Medical Group PLLCGroup PAC ID 0547647901, 3 clinicians

Practice addresses (Care Compare)

Macon, GA 31210
Phone (866) 953-2175

Saint Cloud, FL 34772
Phone (505) 870-4949

Fayetteville, TN 37334
Phone (866) 914-1070

Wapakoneta, OH 45895
Phone (505) 870-4949

Ada, MI 49301
Phone (866) 953-2175

Townsend, MT 59644
Phone (866) 914-1070

Middleton, ID 83644
Phone (866) 914-1070

Bluffdale, UT 84065
Phone (505) 870-4949

Mesa, AZ 85206
Phone (866) 953-2175

Palm Springs, CA 92262
Phone (505) 870-4949

1001 16TH St NE
Rochester, MN 55906-4217
Phone (866) 914-1070

103 Eagle CT
Jamison, PA 18929-1789
Phone (830) 832-9703

1130 Coffee Rd
Suite 10
Modesto, CA 95355-4228
Phone (209) 522-9054

12020 Shamrock PLZ
Suite 200
Omaha, NE 68154-3537
Phone (866) 953-2175

1218 E Grand River Ave
Portland, MI 48875-1628
Phone (517) 732-8877

1233 Waters Rd
Chesapeake, VA 23322-8805
Phone (505) 970-4949

13623 E 37TH St N
Wichita, KS 67228-9517
Phone (866) 914-1070

159 Main St
Chatham, NJ 07928-2415
Phone (856) 712-3505

15949 Lebanon Crittenden Rd
Verona, KY 41092-8224
Phone (830) 832-9703

171 Country GDNS
La Vernia, TX 78121-9541
Phone (866) 914-1070

1723 Nuthatch Ave
Afton, IA 50830-8113
Phone (866) 914-1070

207 Meadow Creek LN
Apt H
Elkton, MD 21921-5150
Phone (866) 914-1070

3 Laird Pittman Rd
Tylertown, MS 39667-4960
Phone (866) 914-1070

3023 W 63Rd LN
Merrillville, IN 46410-8015
Phone (866) 914-1070

306 Holiday Cir
Pineville, LA 71360-5532
Phone (866) 914-1070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2011-01965NCMDFamily Medicine Physician
44058OKMDFamily Medicine Physician
A107393CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Relatyv Mobile Medical LLC CurrentSince Jun 26, 2025 Accepting new patients
Vital IV Infusions Montclair LLC Current Accepting new patients
Relatyv Mobile Medical LLC CurrentSince Jul 1, 2025 Accepting new patients
Relatyv Mobile Medical LLC CurrentSince Jun 23, 2025 Accepting new patients
Relatyv Mobile Medical LLC CurrentSince Jun 1, 2026 Accepting new patients
Relatyv Mobile Medical LLC CurrentSince Apr 1, 2025 Accepting new patients
Relatyv Mobile Medical LLC CurrentSince Jun 24, 2025 Accepting new patients
Relatyv Mobile Medical LLC CurrentSince May 26, 2025 Accepting new patients
Relatyv Mobile Medical LLC CurrentSince Jan 17, 2026 Accepting new patients
Relatyv Mobile Medical LLC CurrentSince Apr 28, 2025 Accepting new patients
Relatyv Mobile Medical LLC CurrentSince May 21, 2025 Accepting new patients
Mental Ease LLC CurrentSince Dec 1, 2025 Accepting new patients
Relatyv Mobile Medical LLC CurrentSince May 18, 2025 Accepting new patients
Relatyv Mobile Medical LLC CurrentSince Jul 1, 2025 Accepting new patients
Relatyv Mobile Medical LLC CurrentSince Apr 28, 2025 Accepting new patients
Relatyv Mobile Medical LLC CurrentSince Mar 29, 2025 Accepting new patients
Relatyv Mobile Medical LLC CurrentSince Jun 1, 2026 Accepting new patients
Southern Magnolia Management LLC Psychiatry CurrentSince Oct 1, 2024 Accepting new patients
Relatyv Mobile Medical LLC CurrentSince Jun 1, 2025 Accepting new patients
Relatyv Mobile Medical LLC CurrentSince Jun 29, 2025 Accepting new patients
Relatyv Mobile Medical LLC CurrentSince Aug 1, 2025 Accepting new patients
Relatyv Mobile Medical LLC CurrentSince Sep 1, 2025 Accepting new patients
Aspen Family Medical Group of Modesto, Inc. Family Medicine CurrentSince May 22, 2024 Accepting new patients
Ohana Medical Group PLLC Family Medicine CurrentSince Jun 6, 2025 Accepting new patients
San Bernardino Mountains Community Hospital District CurrentSince Dec 27, 2023 Accepting new patients
Relatyv Mobile Medical LLC CurrentSince Jun 24, 2025 Accepting new patients
Celestin Mindcare PLLC CurrentSince Feb 25, 2026 Accepting new patients
Relatyv Mobile Medical LLC CurrentSince Jun 23, 2025 Accepting new patients
Infull Psychiatry LLC CurrentSince Jul 29, 2025 Accepting new patients
Relatyv Mobile Medical LLC CurrentSince Jun 16, 2025 Accepting new patients
Relatyv Mobile Medical LLC CurrentSince May 24, 2025 Accepting new patients
Relatyv Mobile Medical LLC CurrentSince Jan 17, 2026 Accepting new patients
Relatyv Mobile Medical LLC CurrentSince Dec 13, 2025 Accepting new patients
Relatyv Mobile Medical LLC CurrentSince Mar 30, 2025 Accepting new patients
Vital IV Infusions CurrentSince Jul 14, 2025 Accepting new patients
Relatyv Mobile Medical LLC CurrentSince Jun 16, 2025 Accepting new patients
Relatyv Mobile Medical LLC CurrentSince Jun 1, 2025 Accepting new patients
Veracity Psychiatry Solutions Inc CurrentSince May 20, 2025 Accepting new patients
Relatyv Mobile Medical LLC CurrentSince May 21, 2025 Accepting new patients
Hendershot Wellness Center LLC Family Medicine Past Accepting new patients
Ohana Medical Group LLC Family Medicine Past Accepting new patients

Locations

4140 E Baseline Rd
Ste 101
Mesa, AZ 85206
Phone (480) 482-1838

1130 Coffee Rd
Ste 10
Modesto, CA 95355
Phone (209) 312-9865

1550 N D St
Ste D
San Bernardino, CA 92405
Phone (909) 515-2559

7971 Riviera Blvd
Ste 314
Miramar, FL 33023
Phone (305) 777-8068

1044 Hayden Rd
Muir, MI 48860
Phone (517) 732-8877

1218 E Grand River Ave
Portland, MI 48875
Phone (517) 732-8877

500 SW South Ave
Unit 208
Blue Springs, MO 64013

12020 Shamrock Plz
Ste 200
Omaha, NE 68154
Phone (402) 659-1621

159 Main St
Chatham, NJ 07928
Phone (856) 712-3505

49 Claremont Ave
Montclair, NJ 07042
Phone (973) 680-8390

120 Perry Hwy
Unit 1
Harmony, PA 16037
Phone (619) 578-9225

1904 Longmire Rd
Ste 401
Conroe, TX 77304

13145 Spring Cypress Rd
Cypress, TX 77429

2743 Smith Ranch Rd
Ste 2304
Pearland, TX 77584
Phone (281) 937-4139

22325 Gosling Rd
Spring, TX 77389

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 42

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.

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1760688295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22325 GOSLING RD",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773894409",
            "telephone_number": "281-724-7980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3171 S 129TH EAST AVE STE A",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741343215",
            "telephone_number": "619-578-9225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 S Harbour Island Blvd Ste 109",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336025927",
            "country_code": "US",
            "telephone_number": "619-578-9225",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3171 S 129th East Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741343215",
            "country_code": "US",
            "telephone_number": "918-205-4681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "SHAYNA",
        "middle_name": "TANISE",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-22",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2011-01965",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A107393",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "44058",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2011-01965",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A107393",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "NC7241A",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5920366",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHILED OF NC",
            "identifier": "172W0",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST, LLC",
            "identifier": "252985",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5920813",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.