Individual provider Active NPI

Shenna Marie Kerlin, RN

  • Psychiatric/Mental Health Registered Nurse
  • Oklahoma City, OK
National Provider Identifier
1811277619
Registry record updated Aug 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
77538 Issued in OK
Practice address
744 SE 25TH St
Oklahoma City, OK 73129-4843
Phone
(405) 636-1463
Fax
(405) 635-8417
NPI assigned
Aug 24, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 77538 OK Primary

Addresses

Primary practice location

744 SE 25TH St
Oklahoma City, OK 73129-4843

Mailing address

908 W Idylwild Dr
Midwest City, OK 73110-1325
Phone (405) 636-1463

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
77538OKMDPsychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1314144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314144000000",
    "number": "1811277619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 W IDYLWILD DR",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731101325",
            "telephone_number": "405-636-1463",
            "fax_number": "405-635-8417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 SE 25TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731294843",
            "telephone_number": "405-636-1463",
            "fax_number": "405-635-8417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERLIN",
        "first_name": "SHENNA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-24",
        "last_updated": "2011-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "OK",
            "license": "77538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; 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.