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Chance Shadwick
NPI 1164120549 · Peer Specialist · Vinita, OK
Chance Shadwick is a Peer Specialist provider in Vinita, OK (NPI 1164120549).
Provider details
- NPI number
- 1164120549
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
405 E Excelsior Ave
Vinita, OK 74301-4226
Phone: (918) 864-0706
Street-level locationGet directions
Mailing address
405 E Excelsior Ave
Vinita, OK 74301-4226
Registry dates
- Enumerated
- 2023-02-15
- Last updated
- 2023-02-15
- Certified
- 2023-02-15
Frequently asked questions
- What is Chance Shadwick's NPI number?
- Chance Shadwick's National Provider Identifier (NPI) is 1164120549, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Chance Shadwick's specialty?
- Chance Shadwick is listed in the NPPES registry with a primary specialty of Peer Specialist (Other Service Providers).
- Where is Chance Shadwick located?
- Chance Shadwick's practice location on file with NPPES is 405 E Excelsior Ave, Vinita, OK 74301-4226.
- What is Chance Shadwick's phone number?
- The practice phone number listed in the NPPES registry for Chance Shadwick is (918) 864-0706.
- Is Chance Shadwick's NPI active?
- Yes — Chance Shadwick's NPI (1164120549) is active in the NPPES registry as of the last update on 2023-02-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.