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: July 26, 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
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

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

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.

Student in an Organized Health Care Education/Training Program
1215 S BOULDER AVE
TULSA, OK 74119
Student in an Organized Health Care Education/Training Program
1215 S BOULDER AVE
TULSA, OK 74119
Student in an Organized Health Care Education/Training Program
1215 S BOULDER AVE
TULSA, OK 74119
Student in an Organized Health Care Education/Training Program
1215 S BOULDER AVE
TULSA, OK 74119
Student in an Organized Health Care Education/Training Program
1215 S BOULDER AVE
TULSA, OK 74119
Student in an Organized Health Care Education/Training Program
1215 S BOULDER AVE
TULSA, OK 74119
Student in an Organized Health Care Education/Training Program
1215 S BOULDER AVE
TULSA, OK 74119
Specialist/Technologist (Athletic Trainer)
1215 S BOULDER AVE
TULSA, OK 74119

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 with the weekly NPPES data releases published by CMS.