NPI
Andrea Dawn Shotton
NPI 1184851255
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- MS RD LD
- Type
- Individual
- Enumeration date
- 2009-06-16
- Last updated
- 2011-02-12
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Specialties
Licenses
- License TN
- 1371
- License OK
- 1659
Location
- Practice location
- 21333 E 104th St
- City
- Broken Arrow OK
- Postal code
- 74014-3669
- Phone
- (918) 449-1123
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Broken Arrow, OK. 2,338 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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