Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

New Identity Foundation

Organization Administrator Registered Nurse · NPI 1184586125

New Identity Foundation is an Administrator Registered Nurse in Oklahoma City, Oklahoma. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
4

Practice location Address checks out

613 NW 117th St
Oklahoma City, OK 73114-7922
Phone: (405) 824-1378
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Massage Therapist (NMT) (primary) Taxonomy 163WM1400X
Administrator Registered Nurse Taxonomy 163WA2000X
Case Management Registered Nurse Taxonomy 163WC0400X
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1184586125
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Monica Tucker — Rn Administration · (405) 824-1378
Other names Shadow Nursing Inc
NPI enumeratedNovember 28, 2025
Last updated in NPPESNovember 28, 2025
Certification dateNovember 28, 2025
Mailing address1211 Pine Vly, Edmond, OK 73012-4364

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