SHANNON RENE' STABERS - NPI 1073986071 - Peer Specialist in Pryor, OK

Q: What is Shannon Stabers's NPI number?

The NPI number for Shannon Stabers is 1073986071. It was assigned to this individual provider in the NPPES registry on November 12, 2015.

Q: What is Shannon Stabers's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shannon Stabers was last updated on July 19, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

On this page

About Shannon Rene' Stabers NPPES

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

SHANNON RENE' STABERS (NPI 1073986071) is an individual peer specialist in Pryor, Oklahoma and active in the NPI registry since November 2015.

NPPES Registry Identity

NPI1073986071

Entity TypeIndividualFemale

Primary Taxonomy175T00000X

Provider Legal NameSHANNON RENE' STABERS

Location Address231 E GRAHAM AVEPryor, OK 74361-2436

Mailing Address231 E Graham AvePryor, OK 74361-2436 · (918) 825-1406 · Fax (918) 825-1406

Phone(918) 825-1406

Fax(918) 825-1406

Sole ProprietorNo

Enumeration DateNovember 12, 2015

Last NPPES UpdateJuly 19, 2016

✔ NPI 1073986071 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.

231 E GRAHAM AVE, Pryor, OK 74361

Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TRACY PRUITT

Case Manager/Care Coordinator