SHANNON G. DAVIS, APRN-CNP FAMILY, P.L.L.C (NPI# 1508292210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508292210 |
| Entity Type | Organization |
| Organization Name | SHANNON G. DAVIS, APRN-CNP FAMILY, P.L.L.C |
| Other Organization Name | THE YALE CLINIC |
| Practice Address |
3414 Nw 135th St Oklahoma City OK 73120-4009 |
| Practice Telephone | 4054141441 |
| Mailing Telephone | 4057490900 |
| Mailing Fax Number | 4057490913 |
| Enumeration Date | 2013-09-25 |
| Last Update Date | 2020-02-18 |
| Authorized Official Name | SHANNON GALE DAVIS (FAMILY NURSE PRACTITIONER) |
| Authorized Official Telephone | 4054141441 |
| Authorized Official Credential | APRN-CNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
R69234 | OK | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200437870A | 05 |
| Other Name | Type Code |
|---|---|
| The Yale Clinic | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 617 W. Broadway, Yale, OK 740852509 | 4057490900 | 4052609566 |
| 201 N Main St, Yale, OK 740852509 | 4054141441 | 4052609566 |
| 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 |
| 1477838217 | Shannon Gale Davis | Nurse Practitioner | 3414 Nw 135th St, Oklahoma City, OK 73120-4009 | 2011-10-12 |
| 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 | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861019556 | Dorissenia Anntionette Peoples | Clinic/Center | 5817 Nw 90th St, Oklahoma City, OK 73132-2830 | 2020-06-29 |
| 1447899778 | First Med Primary Care LLC | Clinic/Center | 1142 Sw 104th St, Oklahoma City, OK 73139 | 2020-01-03 |
| 1497306153 | Careatc | Clinic/Center | 424 Colcord Dr Ste A, Oklahoma City, OK 73102-2500 | 2019-09-24 |
| 1114578887 | Careatc | Clinic/Center | 13500 S Tulsa Dr Ste 302, Oklahoma City, OK 73170-9725 | 2019-09-24 |
| 1144700477 | Healthworks Medical Group of Oklahoma P C | Clinic/Center | 4200 Coletta Dr, Oklahoma City, OK 73120-8317 | 2018-08-16 |
| 1225518558 | Healthworks Medical Group of Oklahoma P C | Clinic/Center | 136 Nw 10th St Ste 110, Oklahoma City, OK 73103-4906 | 2018-08-16 |
| 1548788698 | Total Primary Care.pc | Clinic/Center | 6301 N Meridian Ave Ste 103, Oklahoma City, OK 73112-1267 | 2017-09-08 |
| 1639621246 | Careatc-okc Care | Clinic/Center | 424 Colcord Dr, Suite A, Oklahoma City, OK 73102-2215 | 2016-10-30 |
| 1609240423 | Today Clinic Pllc | Clinic/Center | 10201 N May Ave, Oklahoma City, OK 73120-2510 | 2015-11-17 |
| 1174995641 | Quad/med, LLC | Clinic/Center | 6801 S Sunnylane Rd, Oklahoma City, OK 73135-1712 | 2015-10-23 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73120 |
Please comment or provide details below to improve the information on SHANNON G. DAVIS, APRN-CNP FAMILY, P.L.L.C.
| 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.