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Active NPI 1417299447 Individual Practitioner Female Practitioner

Shelley Waggoner

Specialist • Tulsa, OK

Professional Overview & Biography Verified Profile Summary

Shelley Waggoner is a registered healthcare professional specializing in Specialist in Tulsa, OK. Practice services are available at 6333 E SKELLY DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6333 E Skelly Dr

Tulsa, OK 741356106

Telephone 9186332442
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Tulsa, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 35.6 Yrs
State Avg: 38.7 Yrs
Regional Practice Density
82 Specialists

Practicing in Tulsa, OK (463 Statewide)

Telehealth Adoption Rate
2.4% 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

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Jerry Manus

Case Manager/Care Coordinator

NPI 1003465246
Krystal Hutchinson

Peer Specialist

NPI 1003502592
Abigail Carlisle

Case Manager/Care Coordinator

NPI 1003509761
Tanya Crawford , RN

Registered Nurse

NPI 1003662297

Registered Nurse

Kelli Ordorica

Case Manager/Care Coordinator

NPI 1023634698
Jayson Swisher

Peer Specialist

NPI 1023798022

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 16, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location March 16, 2013

Registered at 6333 E SKELLY DR, TULSA, OK 741356106 (Tel: 9186332442)

📍
Updated Business Mailing Address March 16, 2013

Registered at 6727 S 73RD EAST AVE, TULSA, OK 741331832 (Tel: 9187345866)

👤
Provider Name / Credentials Updated March 16, 2013

Recorded as SHELLEY WAGGONER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 16, 2013

Specialist

🟢
Initial NPI Registration & Enumeration March 16, 2013

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: 1417299447
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 16, 2013
Last Update: March 16, 2013
Sole Proprietor: Yes

Mailing Address

6727 S 73rd East Ave

Tulsa, OK 741331832

Phone: 9187345866

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.