Michelle K Peters

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R0110572 Issued in OK

Practice address

14508 Walker Rd
Shawnee, OK 74801-3424

Phone

(405) 481-3501

Fax

(405) 386-6493

NPI assigned

May 28, 2026

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1779926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1790616506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14508 WALKER RD",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748013424",
            "telephone_number": "405-481-3501",
            "fax_number": "405-386-6493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14508 WALKER RD",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748013424",
            "telephone_number": "405-481-3501",
            "fax_number": "405-386-6493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "MICHELLE",
        "middle_name": "K",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-28",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "OK",
            "license": "R0110572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Diane Peeler, DPT
• Robert E Peevy, PAC
• Lon Preston Pennington, D.PH.
• Pamela York Pensoneau
• Anna Marie Perdue, M.ED.
• Kaylin A Peterson, SLP
• Marianna Kay-Araceli Pettyjohn
• Dianna Lynn Pharaoh, LPC
• Pharm Shawnee Acquisition LLC
• Pharm Shawnee Acquisition LLC

• Registered Nurse in Shawnee, OK
• Providers in Shawnee, OK by specialty
• Registered Nurse in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; 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.