SHANNON RENEE WOODSTOCK (NPI# 1861004467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861004467 |
| Entity Type | Individual |
| Full Name | SHANNON RENEE WOODSTOCK |
| Credential | LPN |
| Practice Address |
550 S Peoria Ave Tulsa OK 74120-3820 |
| Practice Telephone | 9185881900 |
| Practice Fax Number | 9183821285 |
| Mailing Telephone | 9185881900 |
| Mailing Fax Number | 9183821285 |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2020-08-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | L0043209 | OK | Nursing Service Providers |
| Street Address |
550 S PEORIA AVE |
| City | TULSA |
| State | OK |
| Zip Code | 74120-3820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871538942 | Carolyn Louise Cobb | Emergency Medicine | 550 S Peoria Ave, Tulsa, OK 74120-3820 | 2006-06-20 |
| 1487266540 | Tanya Lee Cain | Registered Nurse | 550 S Peoria Ave, Tulsa, OK 74120-3820 | 2020-08-20 |
| 1851903918 | Alicia Kay Ortman | Licensed Practical Nurse | 550 S Peoria Ave, Tulsa, OK 74120-3820 | 2020-08-20 |
| 1790397982 | Linda Lynn Almanza | Licensed Practical Nurse | 550 S Peoria Ave, Tulsa, OK 74120-3820 | 2020-08-19 |
| 1437761517 | Brenda Gayle Taylor | Licensed Practical Nurse | 550 S Peoria Ave, Tulsa, OK 74120-3820 | 2020-08-19 |
| 1780296871 | Jessica Ranae Rimer | Licensed Practical Nurse | 550 S Peoria Ave, Tulsa, OK 74120-3820 | 2020-08-19 |
| 1255943437 | Treece Louise Sutton | Licensed Practical Nurse | 550 S Peoria Ave, Tulsa, OK 74120-3820 | 2020-08-19 |
| 1093327603 | Keenan Charles Reed | Licensed Practical Nurse | 550 S Peoria Ave, Tulsa, OK 74120-3820 | 2020-08-17 |
| 1437760261 | Anne Marie Lisko | Registered Nurse | 550 S Peoria Ave, Tulsa, OK 74120-3820 | 2020-08-14 |
| 1588285159 | Michael Angelo Travisano IIi | Counselor | 550 S Peoria Ave, Tulsa, OK 74120-3820 | 2020-05-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144704321 | Quintella Delana Miller | Case Manager/Care Coordinator | 1043 E Easton St, Tulsa, OK 74120 | 2018-09-24 |
| 1689152092 | Charles Granger Jr. | Case Manager/Care Coordinator | 103 N Greenwood, Suite 320, Tulsa, OK 74120 | 2018-07-30 |
| 1174015598 | Debra Anne Beasley | Counselor | 1619 E. 13th St., Tulsa, OK 74120 | 2018-06-01 |
| 1649775701 | Cara Marie Cantu | Licensed Practical Nurse | 620 South Peoria, Tulsa, OK 74120 | 2018-03-29 |
| 1639558745 | Wei Te Li | Student in an Organized Health Care Education/Training Program | 1207 S Quaker Ave Apt 104, Tulsa, OK 74120 | 2015-05-21 |
| 1225434350 | Marcos Rivero | Community/Behavioral Health | 130 N. Greenwood, Suite 302, Tulsa, OK 74120 | 2014-11-18 |
| 1861742348 | Tamiika Jones | Social Worker | 1533 E 13th St, Apt B, Tulsa, OK 74120 | 2012-09-12 |
| 1730408097 | Teresa Lee Henshaw | Physical Therapist | 1125 S. Trenton, Hillcrest Medical Center- Kaiser Rehab. Center, Tulsa, OK 74120 | 2010-05-26 |
| 1194970384 | Kym Lynnette Lindsay | Speech-Language Pathologist | 1125 S Trenton Ave Fl 3, Tulsa, OK 74120 | 2008-12-01 |
| 1184872004 | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | Pediatrics | 619 S. Quincy Ave., Ouptch-laura Dester Shelter, Tulsa, OK 74120 | 2008-09-04 |
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| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114484623 | Sabrina Susie Rocha | Licensed Practical Nurse | 9811 E 12th St, Tulsa, OK 74128-3803 | 2019-02-21 |
| 1497246524 | Katrenna Dale Gomez | Licensed Practical Nurse | 12309 E 25th Pl, Tulsa, OK 74129-5820 | 2018-05-24 |
| 1649775701 | Cara Marie Cantu | Licensed Practical Nurse | 620 South Peoria, Tulsa, OK 74120 | 2018-03-29 |
| 1770010522 | Hollie Crawford | Licensed Practical Nurse | 3104 S 147th East Ave, Apt H, Tulsa, OK 74134-4630 | 2017-05-11 |
| 1760840425 | Whitney Fraser | Licensed Practical Nurse | 1522 S Gillette Ave, Tulsa, OK 74104-4906 | 2016-02-09 |
| 1023476462 | Sondra Smock | Licensed Practical Nurse | 7813 S Union Ave Apt 414, Tulsa, OK 74132-2743 | 2016-01-30 |
| 1205243060 | Derek Coleman | Licensed Practical Nurse | 503 S 101st East Ave, Tulsa, OK 74128-2637 | 2014-07-14 |
| 1891035697 | Amber Veach | Licensed Practical Nurse | 4845 S. Sheridan Rd, Suite 510, Tulsa, OK 74145-5719 | 2013-02-15 |
| 1457646192 | Ashley Danielle Naifeh | Licensed Practical Nurse | 2335 S Harvard, Tulsa, OK 74114-3300 | 2011-06-10 |
| 1851903918 | Alicia Kay Ortman | Licensed Practical Nurse | 550 S Peoria Ave, Tulsa, OK 74120-3820 | 2020-08-20 |
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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.