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Shane Lietch
NPI 1295276731 · Peer Specialist · Edmond, OK
Shane Lietch is a Peer Specialist provider in Edmond, OK (NPI 1295276731).
Provider details
- NPI number
- 1295276731
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
- Case Manager/Care Coordinator171M00000X
Other Service Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
609 Rolling Hills Ter
Edmond, OK 73012-6611
Phone: (405) 588-2356
Approximate (ZIP-level) locationGet directions
Mailing address
11998 E 223rd St S
Porum, OK 74455-4081
Registry dates
- Enumerated
- 2017-03-16
- Last updated
- 2022-04-18
- Certified
- 2022-04-18
Frequently asked questions
- What is Shane Lietch's NPI number?
- Shane Lietch's National Provider Identifier (NPI) is 1295276731, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shane Lietch's specialty?
- Shane Lietch is listed in the NPPES registry with a primary specialty of Peer Specialist (Other Service Providers).
- Where is Shane Lietch located?
- Shane Lietch's practice location on file with NPPES is 609 Rolling Hills Ter, Edmond, OK 73012-6611.
- What is Shane Lietch's phone number?
- The practice phone number listed in the NPPES registry for Shane Lietch is (405) 588-2356.
- Is Shane Lietch's NPI active?
- Yes — Shane Lietch's NPI (1295276731) is active in the NPPES registry as of the last update on 2022-04-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.