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SHANE SOUDEK
NPI 1063293033
Peer Specialist in Edmond, OK

Active since October 06, 2023
1007 CROWN DR, EDMOND, OK 73034(405) 368-7229 Get Directions Write a Review

NPPES record last updated: October 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shane Soudek NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANE SOUDEK (NPI 1063293033) is an individual peer specialist in Edmond, Oklahoma and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1063293033
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameSHANE SOUDEK
Location Address1007 CROWN DREdmond, OK 73034-5535
Mailing Address1007 Crown DrEdmond, OK 73034-5535
Phone(405) 368-7229
Sole ProprietorNo
Enumeration DateOctober 6, 2023
NPPES CertifiedOctober 6, 2023
✔ NPI 1063293033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
1007 CROWN DR, Edmond, OK 73034
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shane Soudek's NPI number?

The NPI number for Shane Soudek is 1063293033. It was assigned to this individual provider in the NPPES registry on October 6, 2023.

Where is Shane Soudek located?

Shane Soudek practices at 1007 Crown Dr, Edmond, OK 73034. The listed phone number is (405) 368-7229.

What is Shane Soudek's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Shane Soudek was last updated on October 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.