Active NPI
Shawna Farmer
- Peer Specialist
- Tulsa, OK
National Provider Identifier
1811409279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 3015 E Skelly Dr Ste 103
Tulsa, OK 74105-6344 - Phone
- (918) 712-0859
- Fax
- (918) 388-9708
- NPI assigned
- Oct 25, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Primary |
Addresses
Primary practice location
3015 E Skelly Dr Ste 103
Tulsa, OK 74105-6344
Mailing address
3015 E Skelly Dr Ste 103
Tulsa, OK 74105-6344
Phone (918) 712-0859
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200323940 | Medicaid | OK |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508889600000",
"number": "1811409279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3015 E SKELLY DR STE 103",
"city": "TULSA",
"state": "OK",
"postal_code": "741056344",
"telephone_number": "918-712-0859",
"fax_number": "918-388-9708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3015 E SKELLY DR STE 103",
"city": "TULSA",
"state": "OK",
"postal_code": "741056344",
"telephone_number": "918-712-0859",
"fax_number": "918-388-9708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARMER",
"first_name": "SHAWNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-25",
"last_updated": "2017-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200323940",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.