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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OK | 200030250A | 05 |
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 |
Street Address |
1600 SW 119TH ST |
City | OKLAHOMA CITY |
State | OK |
Zip Code | 73170-4908 |
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 |
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 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 | 73170 |
Please comment or provide details below to improve the information on SHANNON L JOHNSON.
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.