MS. SHANNON GALE DAVIS (NPI# 1477838217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477838217 |
| Entity Type | Individual |
| Full Name | MS. SHANNON GALE DAVIS |
| Credential | APRN CNP FAMILY |
| Practice Address |
3414 Nw 135th St Oklahoma City OK 73120-4009 |
| Practice Telephone | 4057490900 |
| Practice Fax Number | 4057490913 |
| Mailing Telephone | 4057490900 |
| Mailing Fax Number | 4057490913 |
| Enumeration Date | 2011-10-12 |
| Last Update Date | 2020-02-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R0069234 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | STATE LICENSE | R0069234 | 01 |
| OK | 200437870A | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 201 N Main St, Yale, OK 740852509 | 4057145444 | 4052609566 |
| 617 W. Broadway, Yale, OK 74085 | 4057490900 | 4057490913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235740341 | Shannon Davis | Technician | 330 Wilson St, Madison, WV 25130-1368 | 2020-08-12 |
| 1023642899 | Shannon Lee Davis | Nurse Practitioner | 1400 S Boston Ave, Tulsa, OK 74119-3612 | 2020-03-02 |
| 1780244707 | Shannon N. Davis | Case Management | 720 Beaufort St Apt 6, Laramie, WY 82072-1741 | 2019-06-20 |
| 1841666948 | Shannon Davis | Physical Therapist | 1485 Nettle Creek Way, Chula Vista, CA 91915-1632 | 2015-08-12 |
| 1588093132 | Shannon Davis | Counselor | 8504 Nbu, Prague, OK 74864-5024 | 2013-11-04 |
| 1144506122 | Shannon Marie Davis | Physical Therapist | 9106 Cool Hollow Ter, Hagerstown, MD 21740-8949 | 2011-10-22 |
| 1538485982 | Shannon Lea Davis | Occupational Therapist | 1181 Forest Bay Dr, Waterford, MI 48328-4289 | 2010-04-09 |
| 1366519316 | Shannon A Davis | Speech-Language Pathologist | 140 Pennock Landing Cir, Jupiter, FL 33458-4020 | 2006-11-28 |
| 1154401529 | Shannon Marie Davis | Counselor | 365 118th Ave Se Ste 110, Bellevue, WA 98005-3557 | 2006-10-17 |
| 1689764318 | Shannon Davis | Psychologist | 17034 Chesterfield Estates Ct, Chesterfield, MO 63005-4471 | 2006-10-13 |
| Street Address |
3414 NW 135TH ST |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73120-4009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316122039 | Michelle Lee Johnston | Nurse Practitioner | 3414 Nw 135th St, Oklahoma City, OK 73120-4009 | 2007-12-31 |
| 1982142972 | Arthrokinex Regenerative Medicine LLC | Clinic/Center | 3414 Nw 135th St, Oklahoma City, OK 73120-4009 | 2017-02-09 |
| 1659740793 | Alexandra Broussard | Registered Nurse | 3414 Nw 135th St, Oklahoma City, OK 73120-4009 | 2015-09-18 |
| 1912320979 | Arthrokinex Joint Health, Inc. | General Practice | 3414 Nw 135th St, Oklahoma City, OK 73120-4009 | 2014-01-28 |
| 1508292210 | Shannon G. Davis, Aprn-cnp Family, P.l.l.c | Clinic/Center | 3414 Nw 135th St, Oklahoma City, OK 73120-4009 | 2013-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134768971 | Nuvail Medical Services Inc | In Home Supportive Care | 3140 West Britton Road, Suite A, Oklahoma City, OK 73120 | 2019-12-26 |
| 1134781677 | Peak Solutions, LLC | Clinic/Center | 12401 Trail Oaks Drive, Therapy Room, 2nd Floor, Oklahoma City, OK 73120 | 2019-07-05 |
| 1992363881 | Laura Lynn's Home Care, LLC | Home Health | 9801 N May Ave, Oklahoma City, OK 73120 | 2019-06-05 |
| 1962992115 | Erin Lyn Florer | Occupational Therapist | 12401 Trail Oak Dr, Oklahoma City, OK 73120 | 2018-05-14 |
| 1780171009 | Diabetic Foot and Wound Center of Okfas | Podiatrist | 11100 Hefner Pointe Drive, Suite A, Oklahoma City, OK 73120 | 2018-04-23 |
| 1285134387 | Motley Vision Professionals, Pllc | Eyewear Supplier (Equipment, not the service) | 9805 N. May Avenue, Oklahoma City, OK 73120 | 2018-02-15 |
| 1043729700 | Jenna Marie Howard | Social Worker | 3301 North Meridian Ave., Building 100, Oklahoma City, OK 73120 | 2017-09-26 |
| 1962928895 | Susan Chacko | Counselor | 12000 N Virginia Avenue, Oklahoma City, OK 73120 | 2017-08-22 |
| 1023533262 | Farris Ree Stroupe | Audiologist | 4140 W. Memorial Rd Suite 116, Oklahoma City, OK 73120 | 2017-08-09 |
| 1881116200 | Rebekah Danielle Kabariti | Counselor | 12000 N. Virgnia Ave, Oklahoma City, OK 73120 | 2017-07-07 |
| Find all providers in zip 73120 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700483302 | Terri Lynn Quintero | Nurse Practitioner | 15701 S Pennsylvania Ave, Oklahoma City, OK 73170-8713 | 2020-10-06 |
| 1952917239 | Philomina Philipose | Nurse Practitioner | 8805 Nw 116th St, Oklahoma City, OK 73162-2220 | 2020-09-21 |
| 1376158295 | Ligi Abraham | Nurse Practitioner | 4200 W Memorial Rd Ste 206, Oklahoma City, OK 73120-8305 | 2020-09-09 |
| 1487266532 | Carla Jo Walker | Nurse Practitioner | 1325 N Walker Ave Apt 357, Oklahoma City, OK 73103-6409 | 2020-08-20 |
| 1396356143 | Deshell Ravette Tillman | Nurse Practitioner | 2621 N Sterling Ave, Oklahoma City, OK 73127-1919 | 2020-08-14 |
| 1225656549 | Simon Wellness LLC | Nurse Practitioner | 9321 Sw 23rd St, Oklahoma City, OK 73128-1840 | 2020-07-13 |
| 1831717396 | Caitlin Raylynn Stenberg | Nurse Practitioner | 1000 N Lincoln Blvd Ste 3200, Oklahoma City, OK 73104-3252 | 2020-07-10 |
| 1467078113 | Jaanki Bhakta | Nurse Practitioner | 9116 Sw 24th St, Oklahoma City, OK 73128-4903 | 2020-06-18 |
| 1629699244 | Tanya Cates | Nurse Practitioner | 5529 Bush Creek Way, Oklahoma City, OK 73117-8440 | 2020-05-05 |
| 1922629054 | Heather Amanda Chin Hwa Rutledge | Nurse Practitioner | 7800 Sw 87th Cir, Oklahoma City, OK 73169-7800 | 2020-04-29 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73120 |
Please comment or provide details below to improve the information on MS. SHANNON GALE DAVIS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.