Sunrise Pediatrics PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

SUNRISE PEDIATRICS PLLC

Practice address

1200 Magnolia Court
Ste 102
Moore, OK 73160-1433

Phone

(405) 759-4155

Fax

(855) 538-3095

NPI assigned

Jul 9, 2025

Last updated

Jun 26, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Laura Shao, PANPI 1376848689

Title

Owner

Phone

(405) 759-4155

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GAEIDD

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Laura Beth Shao, PA-C

  • Physician Assistant
  • Moore, OK
  • NPI 1376848689
  NPD Authorized official
• Reba Beard, MD

  • Pediatrics Physician
  • Moore, OK
  • NPI 1982665956
  NPD (past)
• Betty Harmon, MD

  • Pediatrics Physician
  • Moore, OK
  • NPI 1124017934
  NPD (past)

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

{
    "created_epoch": "1752019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782432000000",
    "number": "1871483883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 720094",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730704072",
            "telephone_number": "405-749-4155",
            "fax_number": "855-538-3095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 MAGNOLIA COURT",
            "address_2": "STE 102",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731601433",
            "telephone_number": "405-759-4155",
            "fax_number": "855-538-3095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE PEDIATRICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-09",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A",
        "authorized_official_last_name": "SHAO",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-759-4155",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley Harrison Strutton, DNP, APRN, FNP-C
• Nicole Stull
• Michelle Renee Sturdivant, NP
• Kylee Sullivan, M.S., CCC-SLP
• Summer Dental Moore PLLC
• Tonya Lynn Sutherby
• Heesook Sutter
• Joshua Swann
• Michelle Tahah, PHARM.D.
• William Earl Tankersley IV, MD

• Pediatrics Physician in Moore, OK
• Providers in Moore, OK by specialty
• Pediatrics Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.