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

Individual provider Registered Nurse · NPI 1811503329

Shasta Davis, PMHNP-BC is a Nurse Practitioner in Norman, Oklahoma. Qualified in 2023, 3 years ago. Practices with State of Oklahoma, a 99-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
3
Licensed in
OK
In the registry since
2020
Specialties on file
2
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

909 Alameda St
Norman, OK 73071-5229
Phone: (405) 360-5100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 215762 (OK)
Registered Nurse Taxonomy 163W00000X · Licence R0134719 (OK)

Record details

NPI number1811503329
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedSeptember 20, 2020
Last updated in NPPESNovember 6, 2023
Certification dateNovember 6, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice State Of Oklahoma — 99 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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