SHANNON LYNN GIDEON FNP-C NPI 1457708257

NPI Information

NPI: 1457708257
Provider Name: SHANNON LYNN GIDEON, FNP-C
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Organization: SOUTHWESTERN SURGICAL AFFILIATES, LLC

PECOS Registration: Yes

Address:
1602 SW 82ND ST
LAWTON, OK
ZIP 73505
Phone: (580) 536-0077
Get Directions

Shannon Lynn Gideon, FNP-C is a psychiatric/mental health nurse practitioner in Lawton, OK with 8 years of experience. Shannon Lynn Gideon, FNP-C NPI is 1457708257. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1602 SW 82ND ST
LAWTON, OK
ZIP 73505-012
Phone: (580) 536-0077

The NPI 1457708257 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/21/2016 and was last updated on 9/15/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	740850	TEXAS	No
2	363LF0000X	Nurse Practitioner	Family	AP131151	TEXAS	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	AP131151	TEXAS	No
4	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	M132275	OKLAHOMA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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