Individual provider Active NPI

Shounda Turley, APRN-NPC

  • Family Nurse Practitioner
  • Jay, OK
National Provider Identifier
1861885832
Registry record updated Oct 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F0715478 Issued in OK
Practice address
2485 N Main St
Jay, OK 74346-2201
Phone
(918) 253-2550
NPI assigned
Mar 14, 2015
Last updated
Oct 13, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F0715478 OK Primary
General Practice Registered Nurse 163WG0000X 62610 OK

Addresses

Primary practice location

2485 N Main St
Jay, OK 74346-2201

Mailing address

2485 N Main St
Jay, OK 74346-2201
Phone (918) 253-2550

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20151029001651 OK Practitioner - Nurse Practitioner 0345559530 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F0715478OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Center of Northeast Oklahoma, Inc. CurrentSince Jan 1, 2021 Accepting new patients
Community Health Center of Northeast Oklahoma, Inc. CurrentSince Jan 1, 2021 Accepting new patients
Community Health Center of Northeast Oklahoma, Inc. Current Accepting new patients
Integris Grove Hospital Past Accepting new patients
Ahs Oklahoma Physician Group, LLC Past Accepting new patients

Locations

138 S Main St
Afton, OK 74331
Phone (918) 257-4244

2485 N Main St
Jay, OK 74346
Phone (918) 253-2550

Interoperability endpoints

  • Direct secure messaging: provider12@chcneo.directbygreenway.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1426291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444694400000",
    "number": "1861885832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2485 N MAIN ST",
            "city": "JAY",
            "state": "OK",
            "postal_code": "743462201",
            "telephone_number": "918-253-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2485 N MAIN ST",
            "city": "JAY",
            "state": "OK",
            "postal_code": "743462201",
            "telephone_number": "918-253-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURLEY",
        "first_name": "SHOUNDA",
        "credential": "APRN-NPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-14",
        "last_updated": "2015-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "F0715478",
            "primary": true
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "OK",
            "license": "62610",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jay, OK

Sources for this page

Verify at the official NPI Registry.