Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shannon Cherie Nanaeto, MS, APRN-CNP

Individual provider Primary Care Nurse Practitioner · NPI 1730963596

Shannon Cherie Nanaeto, MS, APRN-CNP is a Nurse Practitioner in Catoosa, Oklahoma. Qualified in 2009, 17 years ago. Practices with Kavanah Medical LLC, a 7-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
17
Licensed in
OK
In the registry since
2023
What do these letters mean?
MS — Master of Science
A graduate science degree.

See every abbreviation used in this directory →

Practice location Address checks out

1755 N Highway 66 Ste G
Catoosa, OK 74015-2717
Phone: (918) 260-7631
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 211952 (OK)

Record details

NPI number1730963596
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , APRN-CNP
Sole proprietorNo
NPI enumeratedAugust 22, 2023
Last updated in NPPESMarch 1, 2026
Certification dateMarch 1, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Kavanah Medical Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare