Krystal Dawn Shook, APRN-BC is a
Family Medicine based in Tulsa, Oklahoma. Krystal Dawn Shook is licensed to practice in Oklahoma (license number 200745) and her current practice location is
1844 E 15th St, Tulsa, Oklahoma. She can be reached at her office (for appointments etc.) via phone at
(918) 727-7246.
NPI number for Krystal Dawn Shook is 1457949398 and her current mailing address is 1844 E 15th St, Tulsa, Oklahoma. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1457949398.
Provider's Profile
| Full Name | Krystal Dawn Shook |
|---|
| Gender | Female |
|---|
| Speciality | Family Medicine |
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| Location | 1844 E 15th St, Tulsa, Oklahoma |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1457949398
- Provider Enumeration Date: 01/06/2021
- Last Update Date: 05/28/2025
Medical Identifiers
Medical identifiers for Krystal Dawn Shook such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1457949398 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163W00000X | Registered Nurse | R0123042 (Oklahoma) | Secondary |
| 207Q00000X | Family Medicine | 200745 (Oklahoma) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Krystal Dawn Shook is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Krystal Dawn Shook, APRN-BC 1844 E 15th St, Tulsa, OK 74104-4611 Ph: (918) 727-7246 | Krystal Dawn Shook, APRN-BC 1844 E 15th St, Tulsa, OK 74104-4611 Ph: (918) 727-7246 |
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