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Active NPI 1972857654 Individual Practitioner Female Practitioner

Tamalya Lyn Willoughby , LPN

Licensed Practical Nurse • Shawnee, OK

Professional Overview & Biography Verified Profile Summary

Tamalya Willoughby, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Shawnee, OK. Practice services are available at 2307 GORDON COOPER DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2307 Gordon Cooper Dr

Shawnee, OK 748019007

Telephone 4058784693

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Shawnee, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
85 Specialists

Practicing in Shawnee, OK (1129 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License OK 0050130

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Angela Rose , LPN

Licensed Practical Nurse

NPI 1073619565

Licensed Practical Nurse

Aimee May

Emergency Medical Technician, Basic

NPI 1245583558
Melissa Riley , LPN

Licensed Practical Nurse

NPI 1457457954

Licensed Practical Nurse

Ramona Mcguire , LPN

Licensed Practical Nurse

NPI 1528662962

Licensed Practical Nurse

Kent Potts

Internal Medicine - Cardiovascular Disease

NPI 1598752503
Delaina Harrison

Licensed Practical Nurse

NPI 1689946592

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 02, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location November 02, 2012

Registered at 2307 GORDON COOPER DR, SHAWNEE, OK 748019007 (Tel: 4058784693)

📍
Updated Business Mailing Address November 02, 2012

Registered at 544 N CENTER AVE, SHAWNEE, OK 748017215 (Tel: 4058784693)

👤
Provider Name / Credentials Updated November 02, 2012

Recorded as TAMALYA WILLOUGHBY, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 02, 2012

Licensed Practical Nurse (License #0050130 in OK)

🟢
Initial NPI Registration & Enumeration November 02, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1972857654
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 02, 2012
Last Update: November 02, 2012
Sole Proprietor: No

Mailing Address

544 N Center Ave

Shawnee, OK 748017215

Phone: 4058784693

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.