DR. PAUL KEITH SHIELDS NPI 1972611887

NPI Information

NPI: 1972611887
Provider Name: DR. PAUL KEITH SHIELDS
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
1723 S BOSTON AVE
TULSA, OK
ZIP 74119
Phone: (918) 809-1790
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DR. Paul Keith Shields is a professional counselor in Tulsa, OK. DR. Paul Keith Shields NPI is 1972611887. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1723 S BOSTON AVE
TULSA, OK
ZIP 74119-809
Phone: (918) 809-1790
Fax: (918) 592-9159

The enumeration date for this NPI number is 8/29/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	583	OKLAHOMA	Yes
2	106H00000X	Marriage & Family Therapist		54	OKLAHOMA	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	73-123-5153-01	OTHER	OKLAHOMA	BCBS
2	170392	OTHER	OKLAHOMA	VALUE OPTIONS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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