MISS SHELBY RAE STEPHENS (NPI# 1316319817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316319817 |
| Entity Type | Individual |
| Full Name | MISS SHELBY RAE STEPHENS |
| Credential | PA-C |
| Practice Address |
65 S Saints Blvd Edmond OK 73034-3051 |
| Mailing Address |
10251 Stone Gate Dr Arcadia OK 73007-7520 |
| Practice Telephone | 4052855304 |
| Practice Fax Number | 4052855305 |
| Mailing Telephone | 4053234198 |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2015-10-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
2542 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740773654 | Shelby L Stephens | Dentist | 24 Caden Way Ste 3, Russell Springs, KY 42642-4628 | 2018-06-14 |
| Street Address |
65 S SAINTS BLVD |
| City | EDMOND |
| State | OK |
| Zip Code | 73034-3051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144471129 | Integrative Medical Solutions Pllc | Family Medicine | 65 S Saints Blvd, Edmond, OK 73034-3051 | 2008-10-08 |
| 1073972790 | Megan Rachelle Day | Nurse Practitioner | 65 S Saints Blvd, Edmond, OK 73034-3051 | 2016-02-23 |
| 1295163467 | Nonoperative Orthopedics of Oklahoma, Pllc | Family Medicine | 65 S Saints Blvd, Edmond, OK 73034-3051 | 2013-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447172 | Saints Medical Group, LLC | Family Medicine | 2749 Progressive Dr, Suite B, Edmond, OK 73034 | 2020-11-06 |
| 1194339861 | Susan Haesook Kim | Pharmacist | 1400 2nd St, Edmod, Edmond, OK 73034 | 2020-09-01 |
| 1821616038 | Aaron Michael Gowens | Specialist/Technologist | 015 Wantland Hall 100 University Dr., Edmond, OK 73034 | 2020-07-14 |
| 1043834849 | Paddington Place Lcc | Intermediate Care Facility, Mental Illness | 3225 French Park Drive, Suite 6, Edmond, OK 73034 | 2020-06-08 |
| 1083254932 | Purpose Healthcare Inc | Psychologist | 301 South Blvd, Suite 117, Edmond, OK 73034 | 2020-01-08 |
| 1740773662 | Healthcare Express, LLP | Family Medicine | 2300 E 2nd St, Edmond, OK 73034 | 2018-06-14 |
| 1427555713 | Sara Nicole Smith | Specialist/Technologist | 100 N University Drive, Attn: Athletic Training Room, Edmond, OK 73034 | 2018-04-12 |
| 1619475084 | Carissa Leigh Brackelsberg | Chiropractor | 3709 E 2nd St, Edmond, OK 73034 | 2018-01-31 |
| 1760996177 | Laurel Michelle Glendening | Physical Therapist | 3531 River Wood Lane, Edmond, OK 73034 | 2017-11-21 |
| 1134643380 | Keith S Quinn | Dentist | 3008 Peaceful Ln, Edmond, OK 73034 | 2017-07-31 |
| Find all providers in zip 73034 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568884047 | Bethany J Triana | Physician Assistant | 3863 South Boulevard, #200, Edmond, OK 73013-5540 | 2014-01-17 |
| 1326312661 | Stephani Lynn Jones | Physician Assistant | 305 S Bryant Ave, Suite 110, Edmond, OK 73034-5726 | 2012-03-05 |
| 1881886851 | Dana S Cortez | Physician Assistant | 925 W I 35 Frontage Rd Ste 100, Edmond, OK 73034-7399 | 2007-08-14 |
| 1649329996 | Crystal Hope Fredrickson | Physician Assistant | 3863 S Boulevard, Edmond, OK 73013-5540 | 2007-01-09 |
| 1952404238 | Jamie Shane Massengill | Physician Assistant | 7555 Winterwood Dr, Edmond, OK 73025-1861 | 2006-09-05 |
| 1508807520 | Tommy Dean Camp | Physician Assistant | 1101 Nw 178th St, Suite B, Edmond, OK 73012-4281 | 2006-06-09 |
| 1700248101 | Emily John | Physician Assistant | 1701 Renaissance Blvd, Edmond, OK 73013-3086 | 2016-03-24 |
| 1083072185 | Rosa J. Rios | Physician Assistant | 4801 Integris Pkwy, Edmond, OK 73034-8864 | 2016-02-03 |
| 1801293105 | Kelly Walker | Physician Assistant | 2017 W I 35 Frontage Rd, Suite 250, Edmond, OK 73013-8504 | 2014-12-02 |
| 1164761755 | Stevie Marie White Holley | Physician Assistant | 46 E 15th St, Edmond, OK 73013-4301 | 2013-02-03 |
| Find all providers in EDMOND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.