Brandi Shantil Hamm, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R0083172 Issued in OK

Practice address

5795 S Elm PL
Broken Arrow, OK 74011-4893

Phone

(918) 716-5437

NPI assigned

Sep 14, 2009

Last updated

Sep 11, 2025By the provider in NPPES

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

Other names 1

• Ms. Brandi Shantil Wall Former name

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Emergency Medicine Physicians of Tulsa County, LLC

  • Emergency Medicine Physician
  • Tulsa, OK
  • NPI 1003098773
  Medicare reassignment NPD
• Warren Clinic Inc

  • General Practice Physician
  • Tulsa, OK
  • NPI 1174582282
  Medicare reassignment NPD
• On Call Pediatrics PLLC

  • Urgent Care Clinic/Center
  • Collinsville, OK
  • NPI 1730885534
  NPD (past)

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

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1841523594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9276 S 259TH EAST AVE",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740147828",
            "telephone_number": "918-812-0562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5795 S ELM PL",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740114893",
            "telephone_number": "918-716-5437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12150 E 96th St N Ste 101",
            "address_purpose": "LOCATION",
            "city": "Owasso",
            "state": "OK",
            "postal_code": "740555339",
            "country_code": "US",
            "telephone_number": "918-716-5437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMM",
        "first_name": "BRANDI",
        "middle_name": "SHANTIL",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-14",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "R0083172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRANDI",
            "last_name": "WALL",
            "middle_name": "SHANTIL",
            "prefix": "MS.",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Ryan C. Halls, D.M.D.
• Monica W Hamer, MSW, LCSW
• Meagan Elise Hamilton
• Nathan Gage Hamm
• Mark Steven Hamra, M.D.
• Handymac918, Inc.
• Mark Ronald Hannah, CRT, RCP
• Janice Brioney Hardin

• Nurse Practitioner in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.