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

Herndon Gideon, NP

Individual provider Family Nurse Practitioner · NPI 1508243858

Herndon Gideon, NP is a Nurse Practitioner in Shawnee, Oklahoma. Qualified in 2005, 21 years ago. Practices with Williams Medical Group Practice, LLC, a 207-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
21
Licensed in
OK
In the registry since
2015
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

12 E Macarthur St
Shawnee, OK 74804-2135
Phone: (405) 275-1001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 82547 (OK)

Record details

NPI number1508243858
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedMay 6, 2015
Last updated in NPPESMay 6, 2015
Mailing address4705 Gracelann, Shawnee, OK 74804-2372

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Williams Medical Group Practice, Llc — 207 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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