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MS. STACI N SHANNON BS
NPI 1174261366
Case Manager/Care Coordinator in Tulsa, OK

Active since May 26, 2022
3712 E 11TH ST, TULSA, OK 74112(918) 834-4194(918) 834-4189 Get Directions Write a Review

NPPES record last updated: August 12, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Aug 12, 2022, May 26, 2022 (2 updates tracked since 2022).

About Ms. Staci N Shannon Bs NPPES

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

MS. STACI N SHANNON BS (NPI 1174261366) is an individual case manager/care coordinator provider in Tulsa, Oklahoma and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1174261366
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameMS. STACI N SHANNONCredential: BS
Location Address3712 E 11TH STTulsa, OK 74112-3952
Mailing Address3712 E 11th StTulsa, OK 74112-3952 · (918) 834-4194 · Fax (918) 834-4189
Phone(918) 834-4194
Fax(918) 834-4189
Sole ProprietorNo
Enumeration DateMay 26, 2022
Last NPPES UpdateAugust 12, 20222 updates tracked since enumeration
NPPES CertifiedAugust 12, 2022
✔ NPI 1174261366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Also ListedSocial WorkerTaxonomy 104100000X
3712 E 11TH ST, Tulsa, OK 74112
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Other Providers at the Same Location NPPES 11

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

ERIN ENDRESS DTR
Dietetic Technician, Registered
3712 E 11TH ST
TULSA, OK 74112
Tulsa County (918) 834-4194
SABRINA SUZAINNE VILLALON RDN
Dietitian, Registered
3712 E 11TH ST
TULSA, OK 74112
Tulsa County (918) 834-4194
CHRISTINA JOAN BUMGARNER
Case Manager/Care Coordinator
3712 E 11TH ST
TULSA, OK 74112
Tulsa County (918) 834-4194
HIV RESOURCE CONSORTIUM, INC.
Internal Medicine
3712 E 11TH ST
TULSA, OK 74112
Tulsa County (918) 834-4194
ALLISON RENEE STRAWN RD, LD
Dietitian, Registered
3712 E 11TH ST
TULSA, OK 74112
Tulsa County (918) 834-4194
MS. TIFANY ANNE OSLIN LMSW
Social Worker
3712 E 11TH ST
TULSA, OK 74112
Tulsa County (918) 834-4194
GENA M ORR LCSW
Social Worker (Clinical)
3712 E 11TH ST
TULSA, OK 74112
Tulsa County (918) 348-4302
NATASHA MARIE THOMPSON LMSW
Counselor (Mental Health)
3712 E 11TH ST
TULSA, OK 74112
Tulsa County (918) 834-4194

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 Staci Shannon's NPI number?

The NPI number for Staci Shannon is 1174261366. It was assigned to this individual provider in the NPPES registry on May 26, 2022.

Where is Staci Shannon located?

Staci Shannon practices at 3712 E 11th St, Tulsa, OK 74112. The listed phone number is (918) 834-4194.

What is Staci Shannon's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Staci Shannon was last updated on August 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.