{
"Npi": {
"NPI": "1508292210",
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"ReplacementNPI": null,
"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "SHANNON G. DAVIS, APRN-CNP FAMILY, P.L.L.C",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
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"OtherNamePrefix": null,
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"OtherCredential": null,
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"FirstLineMailingAddress": "3414 NW 135TH ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "OKLAHOMA CITY",
"MailingAddressStateName": "OK",
"MailingAddressPostalCode": "73120-4009",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "405-749-0900",
"MailingAddressFaxNumber": "405-749-0913",
"FirstLinePracticeLocationAddress": "3414 NW 135TH ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "OKLAHOMA CITY",
"PracticeLocationAddressStateName": "OK",
"PracticeLocationAddressPostalCode": "73120-4009",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "405-414-1441",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "09/25/2013",
"LastUpdateDate": "02/18/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DAVIS",
"AuthorizedOfficialFirstName": "SHANNON",
"AuthorizedOfficialMiddleName": "GALE",
"AuthorizedOfficialTitle": "FAMILY NURSE PRACTITIONER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "APRN-CNP",
"AuthorizedOfficialTelephoneNumber": "405-414-1441",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QP2300X",
"TaxonomyName": "Primary Care Clinic/Center",
"LicenseNumber": "R69234",
"LicenseNumberStateCode": "OK",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}