MRS. SHANDY RAE GOSNELL STOTLER


Address: 800 Ne 10th St Fl 6, Oklahoma City, OK 73104-5418
Phone: 4052138009

MRS. SHANDY RAE GOSNELL STOTLER (NPI# 1588100408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588100408
Entity Type Individual
Full Name MRS. SHANDY RAE GOSNELL STOTLER
Credential APRN-CNP, DNP
Practice Address 800 Ne 10th St Fl 6
Oklahoma City
OK 73104-5418
Practice Telephone 4052138009
Mailing Telephone 4052138009
Enumeration Date 2017-01-17
Last Update Date 2020-02-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
100569 OK Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 800 NE 10TH ST FL 6
City OKLAHOMA CITY
State OK
Zip Code 73104-5418

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265733240 Carrie Hau Lai Yuen Internal Medicine 800 Ne 10th St Fl 6, Oklahoma City, OK 73104-5418 2010-11-08
1487284261 Angel Mathew Physician Assistant 800 Ne 10th St Fl 6, Oklahoma City, OK 73104-5418 2020-01-22
1972019636 Regina Catherine Swenton Physician Assistant 800 Ne 10th St Fl 6, Oklahoma City, OK 73104-5418 2017-12-18
1265865968 Midhun Malla Internal Medicine 800 Ne 10th St Fl 6, Oklahoma City, OK 73104-5418 2013-08-16
1760757892 Raisa Marie Pinto Internal Medicine 800 Ne 10th St Fl 6, Oklahoma City, OK 73104-5418 2012-03-22
1124312343 Minh Phan Internal Medicine 800 Ne 10th St Fl 6, Oklahoma City, OK 73104-5418 2011-06-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356979645 Kayla Campbell Dietitian, Registered Stephenson Cancer Center, 800 Ne 10th Street, Oklahoma City, OK 73104 2020-03-31
1447715453 Roman Michael Garcia Dentist Ou Children's Physicians - Dental Clinic, 1200 Children's Ave, 8f, Oklahoma City, OK 73104 2019-02-04
1265902340 Jenna Lyn Celii Registered Nurse 920 Sl Young Blvd Ste 1140, Oklahoma City, OK 73104 2018-11-30
1407337462 Opus Medical, LLC Psychiatry & Neurology 4 Ne 10th St Suite 467, Oklahoma City, OK 73104 2018-08-27
1316433295 Syed Muhammad Shakaib Quadri Pathology 940 Stanton L. Young Blvd., Bmsb 451, Oklahoma City, OK 73104 2018-07-03
1447746417 Nimrah Bader Internal Medicine 800 Stanton L. Young Blvd., Aat 6300, Oklahoma City, OK 73104 2018-07-02
1417440793 Helen Judith Turkson Apetor Nurse Practitioner 700 Ne 13th, Oklahoma City, OK 73104 2018-06-11
1003307935 Mary Katlin Nixon Obstetrics & Gynecology 800 Stanton L Young Blvd Ste 2319, Oklahoma City, OK 73104 2018-05-26
1558851220 Bryce Yohannan Student in an Organized Health Care Education/Training Program 800 Stanton L Young Blvd, Aat 6300, Oklahoma City, OK 73104 2018-05-17
1346746690 Kacy Anne Richburg Orthopaedic Surgery 711 Stanton L Young Blvd Ste 111, Oklahoma City, OK 73104 2018-04-04
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700483302 Terri Lynn Quintero Nurse Practitioner 15701 S Pennsylvania Ave, Oklahoma City, OK 73170-8713 2020-10-06
1952917239 Philomina Philipose Nurse Practitioner 8805 Nw 116th St, Oklahoma City, OK 73162-2220 2020-09-21
1376158295 Ligi Abraham Nurse Practitioner 4200 W Memorial Rd Ste 206, Oklahoma City, OK 73120-8305 2020-09-09
1487266532 Carla Jo Walker Nurse Practitioner 1325 N Walker Ave Apt 357, Oklahoma City, OK 73103-6409 2020-08-20
1396356143 Deshell Ravette Tillman Nurse Practitioner 2621 N Sterling Ave, Oklahoma City, OK 73127-1919 2020-08-14
1225656549 Simon Wellness LLC Nurse Practitioner 9321 Sw 23rd St, Oklahoma City, OK 73128-1840 2020-07-13
1831717396 Caitlin Raylynn Stenberg Nurse Practitioner 1000 N Lincoln Blvd Ste 3200, Oklahoma City, OK 73104-3252 2020-07-10
1467078113 Jaanki Bhakta Nurse Practitioner 9116 Sw 24th St, Oklahoma City, OK 73128-4903 2020-06-18
1629699244 Tanya Cates Nurse Practitioner 5529 Bush Creek Way, Oklahoma City, OK 73117-8440 2020-05-05
1922629054 Heather Amanda Chin Hwa Rutledge Nurse Practitioner 7800 Sw 87th Cir, Oklahoma City, OK 73169-7800 2020-04-29
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Competitor

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City OKLAHOMA CITY
Zip Code 73104

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Dataset Information

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.

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