What is Shane Soudek's NPI number?

Shane Soudek's National Provider Identifier (NPI) is 1063293033, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Shane Soudek's specialty?

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

Where is Shane Soudek located?

Shane Soudek's practice location on file with NPPES is 1007 Crown Dr, Edmond, OK 73034-5535.

What is Shane Soudek's phone number?

The practice phone number listed in the NPPES registry for Shane Soudek is (405) 368-7229.

Is Shane Soudek's NPI active?

Yes — Shane Soudek's NPI (1063293033) is active in the NPPES registry as of the last update on 2023-10-06.

IndividualActive

Shane Soudek

NPI 1063293033 · Peer Specialist · Edmond, OK

Shane Soudek is a Peer Specialist provider in Edmond, OK (NPI 1063293033).

Provider details

NPI number: 1063293033
Entity type: Individual
Primary specialty: Peer SpecialistOther Service Providers
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Peer SpecialistPrimary175T00000X
Other Service Providers

Profile Score

Established profile(51/100 index)

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

Registry tenure38% of score
2 yrs 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

1007 Crown Dr

Edmond, OK 73034-5535

Phone: (405) 368-7229

Street-level locationGet directions

More OK providers

Mailing address