MARIANNA KAY-ARACELI PETTYJOHN
NPI 1093664658
Licensed Practical Nurse in Shawnee, OK

NPI Status: Active since January 27, 2026

Contact Information

2307 GORDON COOPER DR
SHAWNEE, OK
ZIP 74801
Phone: (405) 273-5236

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  • Individual
  • Female
  • Licensed Practical Nurse

About MARIANNA PETTYJOHN

This page provides the complete NPI Profile along with additional information for Marianna Pettyjohn, a provider established in Shawnee, Oklahoma with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1093664658 assigned on January 2026. The practitioner's primary taxonomy code is 164W00000X with license number 219341 (OK). The provider is registered as an individual and her NPI record was last updated January 2026. Marianna Pettyjohn operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization.

NPI
1093664658
Provider Name
MARIANNA KAY-ARACELI PETTYJOHN
Gender
Female
Entity Type
Individual
Location Address
2307 GORDON COOPER DR SHAWNEE, OK 74801
Location Phone
(405) 273-5236
Mailing Address
2307 GORDON COOPER DR SHAWNEE, OK 74801
Mailing Phone
(405) 273-5236
Is Sole Proprietor?
Yes
Enumeration Date
01-27-2026
Last Update Date
01-27-2026
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Licensed Practical Nurse

Taxonomy Code
164W00000X
Type
Nursing Service Providers
License No.
219341
License State
OK
Taxonomy Description
A licensed practical nurse 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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1093664658, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
3
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
6
Unchanged
Pos 7
4
Doubled → 8
Pos 8
6
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 6 → 12 → 3 4 → 8 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 8 + 3 + 1 + 2 + 6 + 8 + 6 + 1 + 0 + 24 = 62

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1093664658.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine (Cardiovascular Disease)
2307 GORDON COOPER DR
SHAWNEE, OK 74801
Pharmacist
2307 GORDON COOPER DR
SHAWNEE, OK 74801
Pharmacist
2307 GORDON COOPER DR
SHAWNEE, OK 74801
Clinic/Center (Health Service)
2307 GORDON COOPER DR
SHAWNEE, OK 74801
Licensed Practical Nurse
2307 GORDON COOPER DR
SHAWNEE, OK 74801
Registered Nurse (Diabetes Educator)
2307 GORDON COOPER DR
SHAWNEE, OK 74801
Licensed Practical Nurse
2307 GORDON COOPER DR
SHAWNEE, OK 74801
Registered Nurse
2307 GORDON COOPER DR
SHAWNEE, OK 74801
Licensed Practical Nurse
2307 GORDON COOPER DR
SHAWNEE, OK 74801
Registered Nurse
2307 GORDON COOPER DR
SHAWNEE, OK 74801
Dietitian, Registered
2307 GORDON COOPER DR
SHAWNEE, OK 74801
Licensed Practical Nurse
2307 GORDON COOPER DR
SHAWNEE, OK 74801
Emergency Medical Technician, Basic
2307 GORDON COOPER DR
SHAWNEE, OK 74801
Licensed Practical Nurse
2307 GORDON COOPER DR
SHAWNEE, OK 74801
Nurse Practitioner
2307 GORDON COOPER DR
SHAWNEE, OK 74801
Dietitian, Registered
2307 GORDON COOPER DR
SHAWNEE, OK 74801
Licensed Practical Nurse
2307 GORDON COOPER DR
SHAWNEE, OK 74801
Licensed Practical Nurse
2307 GORDON COOPER DR
SHAWNEE, OK 74801
Community Health Worker
2307 GORDON COOPER DR
SHAWNEE, OK 74801
Registered Nurse
2307 GORDON COOPER DR
SHAWNEE, OK 74801

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093664658, enumerated as an "individual" on January 27, 2026.

The provider is located at 2307 GORDON COOPER DR SHAWNEE, OK 74801 and the phone number is (405) 273-5236.

Licensed Practical Nurse with taxonomy code 164W00000X.