Provider Demographics
NPI:1013431451
Name:CHAPPELL, SHEKELIA MARIA I
Entity Type:Individual
Prefix:
First Name:SHEKELIA
Middle Name:MARIA
Last Name:CHAPPELL
Suffix:I
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3324 SE 44TH ST APT A
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73135-1077
Mailing Address - Country:US
Mailing Address - Phone:405-735-0354
Mailing Address - Fax:000-000-0000
Practice Address - Street 1:3324 SE 44TH ST APT A
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73135-1077
Practice Address - Country:US
Practice Address - Phone:405-735-0354
Practice Address - Fax:000-000-0000
Is Sole Proprietor?:No
Enumeration Date:2017-07-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator