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ALEC DALTON-SHEA PUCKETT
NPI 1538836739
Student in an Organized Health Care Education/Training Program in Tulsa, OK

Active since August 25, 2021
1215 S BOULDER AVE, TULSA, OK 74119(918) 631-2619 Get Directions Write a Review

NPPES record last updated: August 25, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Alec Dalton-shea Puckett NPPES

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

ALEC DALTON-SHEA PUCKETT (NPI 1538836739) is an individual student in an organized health care education/training program in Tulsa, Oklahoma and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1538836739
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameALEC DALTON-SHEA PUCKETT
Location Address1215 S BOULDER AVETulsa, OK 74119-2842
Mailing Address13401 S 87th East AveBixby, OK 74008-3443 · (918) 857-5123
Phone(918) 631-2619
Sole ProprietorYes
Enumeration DateAugust 25, 2021
NPPES CertifiedAugust 25, 2021
✔ NPI 1538836739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
1215 S BOULDER AVE, Tulsa, OK 74119
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Other Providers at the Same Location NPPES 14

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

ARIC SCOTT AIRITAM
Student in an Organized Health Care Education/Training Program
1215 S BOULDER AVE
TULSA, OK 74119
Tulsa County (918) 631-2619
JACKSON GRANT
Student in an Organized Health Care Education/Training Program
1215 S BOULDER AVE
TULSA, OK 74119
Tulsa County (918) 631-2619
ALEXANDRA L STORCK
Student in an Organized Health Care Education/Training Program
1215 S BOULDER AVE
TULSA, OK 74119
Tulsa County (918) 407-7663
UNIVERSITY OF TULSA
Student in an Organized Health Care Education/Training Program
1215 S BOULDER AVE
TULSA, OK 74119
Tulsa County (918) 631-2617
SYDNEY CARLEEN ROBINSON
Student in an Organized Health Care Education/Training Program
1215 S BOULDER AVE
TULSA, OK 74119
Tulsa County (918) 631-2619
TAMAURI GOODE
Student in an Organized Health Care Education/Training Program
1215 S BOULDER AVE
TULSA, OK 74119
Tulsa County (918) 631-2619
BAILEY MARIE RATCLIFF
Student in an Organized Health Care Education/Training Program
1215 S BOULDER AVE
TULSA, OK 74119
Tulsa County (918) 631-2619
ALLISON KATE MODGLIN
Specialist/Technologist (Athletic Trainer)
1215 S BOULDER AVE
TULSA, OK 74119
Tulsa County (918) 631-2619

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 Alec Puckett's NPI number?

The NPI number for Alec Puckett is 1538836739. It was assigned to this individual provider in the NPPES registry on August 25, 2021.

Where is Alec Puckett located?

Alec Puckett practices at 1215 S Boulder Ave, Tulsa, OK 74119. The listed phone number is (918) 631-2619.

What is Alec Puckett's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Alec Puckett was last updated on August 25, 2021. 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.