Shane Micheal Hardemon
Peer Specialist • Blackwell, OK
Professional Overview & Biography Verified Profile Summary
Shane Hardemon is a registered healthcare professional specializing in Peer Specialist in Blackwell, OK. Practice services are available at 444 E COLLEGE AVE under active NPI credentials.
Practice Location & Contact Primary Location
444 E College Ave
Blackwell, OK 746313319
Specialty Benchmarks & Practice Insights
Comparative analytics for Peer Specialist in Blackwell, OK
Practicing in Blackwell, OK (5280 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
CMS Verified: 2024-10-02NUCC Taxonomy Code: 175T00000X
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.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
NPI status registered as active in NPPES database
Registered at 444 E COLLEGE AVE, BLACKWELL, OK 746313319 (Tel: 5804017527)
Registered at 444 E COLLEGE AVE, BLACKWELL, OK 746313319 (Tel: 5804017527)
Recorded as SHANE HARDEMON
Peer Specialist
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
444 E College Ave
Blackwell, OK 746313319
Phone: 5804017527
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