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Active NPI 1164968897 Individual Practitioner Female Practitioner

Sandra Shomo , LPN

Licensed Practical Nurse • Tahlequah, OK

Professional Overview & Biography Verified Profile Summary

Sandra Shomo, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Tahlequah, OK. Practice services are available at 100 S BLISS AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

100 S Bliss Ave

Tahlequah, OK 744642512

Telephone 9184535000
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Tahlequah, OK

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

Practicing in Tahlequah, 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 60291

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

11 Associated Practitioners
Adam Cothran , MSW

Social Worker

NPI 1144414764

Master of Social Work

Jennifer Lasiter

Peer Specialist

NPI 1194440735
Trinity Veach

Peer Specialist

NPI 1265163695
Dr. Khoula Ahmad , MD

Student in an Organized Health Care Education/Training Program

NPI 1558205450

Doctor of Medicine (M.D.)

NPI 1669257952

Doctor of Pharmacy (Pharm.D.)

Kathryn Martin , APRN-CNM

Advanced Practice Midwife

NPI 1679183404

APRNCNM

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 19, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location January 19, 2017

Registered at 100 S BLISS AVE, TAHLEQUAH, OK 744642512 (Tel: 9184535000)

📍
Updated Business Mailing Address January 19, 2017

Registered at 100 S BLISS AVE, TAHLEQUAH, OK 744642512 (Tel: 9184535000)

👤
Provider Name / Credentials Updated January 19, 2017

Recorded as SANDRA SHOMO, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 19, 2017

Licensed Practical Nurse (License #60291 in OK)

🟢
Initial NPI Registration & Enumeration January 19, 2017

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: 1164968897
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 19, 2017
Last Update: January 19, 2017
Sole Proprietor: No

Mailing Address

100 S Bliss Ave

Tahlequah, OK 744642512

Phone: 9184535000

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.