SHANNON L JOHNSON


Address: 1600 Sw 119th St, Oklahoma City, OK 73170-4908
Phone: 4054258100

SHANNON L JOHNSON (NPI# 1639166499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639166499
Entity Type Individual
Full Name SHANNON L JOHNSON
Other Name SHANNON L CLINK
Credential CNP, APRN, CNS-RX
Practice Address 1600 Sw 119th St
Oklahoma City
OK 73170-4908
Mailing Address 5300 N Independence Ave
Ste. 280
Oklahoma City
OK 73112-5556
Practice Telephone 4054258100
Practice Fax Number 4054258109
Mailing Telephone 4054258100
Mailing Fax Number 4054258109
Enumeration Date 2005-10-05
Last Update Date 2016-02-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LA2200X Nurse Practitioner
Specialization: Adult Health
60090 OK Physician Assistants & Advanced Practice Nursing Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
60090 OK Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
OK 200030250A 05

Other Providers SHANNON JOHNSON

NPI Name Taxonomy Address Enumeration
1437787579 Shannon R Johnson Physical Therapy Assistant 2030 N 15th Rd, Streator, IL 61364-9754 2020-04-01
1225688146 Shannon D Johnson Counselor 505 University Dr E Ste 501, College Station, TX 77840-1797 2019-09-12
1174184402 Shannon Symone Johnson Registered Nurse 1120 Country View Ln Apt 11d, Toledo, OH 43615-8315 2019-06-26
1114435484 Shannon Marie Johnson Nurse Practitioner 120 Horton Ln, Belvidere, TN 37306-2109 2018-01-19
1972859478 Shannon Johnson Counselor 2502 Beech St Unit 6, Valparaiso, IN 46383-6214 2012-08-02
1295012508 Shannon Christina Johnson Physician Assistant 13111 E. Briarwood Ave #15, Centennial, CO 80112 2011-11-15
1689815771 Shannon Marie Johnson Speech-Language Pathologist 1567 Elmwood Ave, Apt6, Rochester, NY 14620-3616 2009-03-18
1801080619 Shannon Marie Johnson Nurse Practitioner 7900 Highway 76, Pendleton, SC 29670-8876 2007-09-05
1407074719 Shannon E Johnson Counselor 427 Linden, Ave, Memphis, TN 38126 2007-04-23
1902022841 Shannon Lee Johnson Counselor 317 Hospital Street, Moulton, AL 35650 2007-04-18

Office Location

Street Address 1600 SW 119TH ST
City OKLAHOMA CITY
State OK
Zip Code 73170-4908

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245766864 Ahmed Salous Family Medicine 1600 Sw 119th St, Oklahoma City, OK 73170-4908 2017-05-02
1881138352 Jennifer Paulley-micue Social Worker 1600 Sw 119th St, Oklahoma City, OK 73170-4908 2016-12-18
1467893941 Erin Nagode Nguyen Family Medicine 1600 Sw 119th St, Oklahoma City, OK 73170-4908 2013-07-11
1063850766 Shannon Miller Nurse Practitioner 1600 Sw 119th St, Oklahoma City, OK 73170-4908 2013-06-05
1063723195 Joseph Nguyen Family Medicine 1600 Sw 119th St, Oklahoma City, OK 73170-4908 2010-06-23
1568637353 Kyle Bradley French Family Medicine 1600 Sw 119th St, Oklahoma City, OK 73170-4908 2008-04-23
1497951685 Adrienne Emel Kesinger Internal Medicine 1600 Sw 119th St, Oklahoma City, OK 73170-4908 2007-06-25
1679619712 Hoang Nguyen Family Medicine 1600 Sw 119th St, Oklahoma City, OK 73170-4908 2007-01-29
1710921291 Raymond Louis Wall Family Medicine 1600 Sw 119th St, Oklahoma City, OK 73170-4908 2006-06-15
1144261934 Christi Renae Dewitt Family Medicine 1600 Sw 119th St, Oklahoma City, OK 73170-4908 2006-06-10
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144847542 Premier Healthcare, Aprn-cnp Nurse Practitioner 12208 South Western Avenue, Suite B, Oklahoma City, OK 73170 2020-07-01
1982233565 Bethany Ann Arthur Student in an Organized Health Care Education/Training Program 661 Waterview Rd, Okc, OK 73170 2020-04-06
1952868929 Ariana N. Ree Peer Specialist 328 Sw 147th St, Oklahoma City, OK 73170 2019-02-26
1780151431 Looking Up Counseling Counselor 709 Sw 119th Ste. B1, Okc, OK 73170 2018-10-31
1902385859 Danell Marie Rahni Psychologist 17300 Serrano Dr, Oklahoma City, OK 73170 2018-08-11
1619468378 Nhan Nguyen Student in an Organized Health Care Education/Training Program 10504 S Miller Ave, Oklahoma City, OK 73170 2018-05-29
1740709906 Hall Podiatry LLC Clinic/Center 20 Sw 132nd Terrace, Moore, OK 73170 2017-09-19
1942727896 Adelaide V South Dietitian, Registered 12216 S Land Ave, Oklahoma City, OH 73170 2017-08-22
1477073609 Mary Ann Hayden Nurse Practitioner 3224 Sw 119th Street, Hennessee & Associates, Oklahoma City, OK 73170 2017-06-20
1245762293 Michael David Detten Physical Therapist 10740 S May Ave Ste 111, Oklahoma City, OK 73170 2017-03-29
Find all providers in zip 73170

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

Search similar providers

City OKLAHOMA CITY
Zip Code 73170

Improve Information

Please comment or provide details below to improve the information on SHANNON L JOHNSON.

Dataset Information

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.

Trending Searches