What is Shane Hardemon's NPI number?

Shane Hardemon's National Provider Identifier (NPI) is 1003634478, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Shane Hardemon's specialty?

Shane Hardemon is listed in the NPPES registry with a primary specialty of Peer Specialist (Other Service Providers).

Where is Shane Hardemon located?

Shane Hardemon's practice location on file with NPPES is 444 E College Ave, Blackwell, OK 74631-3319.

What is Shane Hardemon's phone number?

The practice phone number listed in the NPPES registry for Shane Hardemon is (580) 401-7527.

Is Shane Hardemon's NPI active?

Yes — Shane Hardemon's NPI (1003634478) is active in the NPPES registry as of the last update on 2024-10-02.

IndividualActive

Shane Hardemon

NPI 1003634478 · Peer Specialist · Blackwell, OK

Shane Hardemon is a Peer Specialist provider in Blackwell, OK (NPI 1003634478).

Provider details

NPI number: 1003634478
Entity type: Individual
Primary specialty: Peer SpecialistOther Service Providers
Sex: Male
Sole proprietor: Yes

Specialties & taxonomies

Peer SpecialistPrimary175T00000X
Other Service Providers

Profile Score

Basic profile(49/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
1 yr in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

444 E College Ave

Blackwell, OK 74631-3319

Phone: (580) 401-7527

Street-level locationGet directions

More OK providers

Mailing address