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SHANE BAILEY
NPI 1649910738
Peer Specialist in Tulsa, OK

Active since March 29, 2022
1823 S JACKSON AVE APT 31J, TULSA, OK 74107(503) 267-2449 Get Directions Write a Review

NPPES record last updated: March 29, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shane Bailey NPPES

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

SHANE BAILEY (NPI 1649910738) is an individual peer specialist in Tulsa, Oklahoma and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1649910738
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameSHANE BAILEY
Location Address1823 S JACKSON AVE APT 31JTulsa, OK 74107-1867
Mailing Address1823 S Jackson Ave Apt 31jTulsa, OK 74107-1867 · (503) 267-2449
Phone(503) 267-2449
Sole ProprietorYes
Enumeration DateMarch 29, 2022
NPPES CertifiedMarch 29, 2022
✔ NPI 1649910738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
1823 S JACKSON AVE APT 31J, Tulsa, OK 74107
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Other Providers at the Same Location NPPES

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

MEGAN PAGE DOUGHERTY
Case Manager/Care Coordinator
1823 S JACKSON AVE APT 31J
TULSA, OK 74107
Tulsa County (918) 800-3876

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 Shane Bailey's NPI number?

The NPI number for Shane Bailey is 1649910738. It was assigned to this individual provider in the NPPES registry on March 29, 2022.

Where is Shane Bailey located?

Shane Bailey practices at 1823 S Jackson Ave Apt 31J, Tulsa, OK 74107. The listed phone number is (503) 267-2449.

What is Shane Bailey's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Shane Bailey was last updated on March 29, 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.