SANDRA SHOMO LPN
NPI 1164968897
Licensed Practical Nurse in Tahlequah, OK

Active since January 19, 2017
100 S BLISS AVE, TAHLEQUAH, OK 74464(918) 453-5000 Get Directions Write a Review

NPPES record last updated: January 19, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sandra Shomo Lpn NPPES

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

SANDRA SHOMO LPN (NPI 1164968897) is an individual licensed practical nurse in Tahlequah, Oklahoma, licensed in Oklahoma (60291) and active in the NPI registry since January 2017.

NPPES Registry Identity

NPI1164968897
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameSANDRA SHOMOCredential: LPN
Location Address100 S BLISS AVETahlequah, OK 74464-2512
Mailing Address100 S Bliss AveTahlequah, OK 74464-2512 · (918) 453-5000
Sole ProprietorNo
Enumeration DateJanuary 19, 2017
NPI 1164968897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in OK · 60291
Definition
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.
100 S BLISS AVE, Tahlequah, OK 74464

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.

Emergency Medicine
100 S BLISS AVE
TAHLEQUAH, OK 74464
General Acute Care Hospital (Rural)
100 S BLISS AVE
TAHLEQUAH, OK 74464
Physical Therapist
100 S BLISS AVE
TAHLEQUAH, OK 74464
Nurse Anesthetist, Certified Registered
100 S BLISS AVE
TAHLEQUAH, OK 74464
Podiatrist
100 S BLISS AVE
TAHLEQUAH, OK 74464
Pharmacist (Pharmacotherapy)
100 S BLISS AVE
TAHLEQUAH, OK 74464
Advanced Practice Midwife
100 S BLISS AVE
TAHLEQUAH, OK 74464
Pharmacist
100 S BLISS AVE
TAHLEQUAH, OK 74464

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 Sandra Shomo's NPI number?

The NPI number for Sandra Shomo is 1164968897. It was assigned to this individual provider in the NPPES registry on January 19, 2017.

Where is Sandra Shomo located?

Sandra Shomo practices at 100 S Bliss Ave, Tahlequah, OK 74464. The listed phone number is (918) 453-5000.

What is Sandra Shomo's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Sandra Shomo was last updated on January 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.