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

Shannon L Johnson, CNP, APRN, CNS-RX

Individual provider Adult Health Nurse Practitioner · NPI 1639166499

Shannon L Johnson, CNP, APRN, CNS-RX is a Nurse Practitioner in Oklahoma City, Oklahoma. Qualified in 2011, 15 years ago. Practices with Complete and Comprehensive Kidney Care PLLC, a 2-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
15
Licensed in
OK
In the registry since
2005
Specialties on file
2
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

Practice location Address checks out

1600 SW 119th St
Oklahoma City, OK 73170-4908
Phone: (405) 425-8100
Fax: (405) 425-8109
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 60090 (OK)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 60090 (OK)

Record details

NPI number1639166499
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP , APRN , CNS-RX
Sole proprietorNo
NPI enumeratedOctober 5, 2005
Last updated in NPPESFebruary 5, 2016

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Complete And Comprehensive Kidney Care Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Oklahoma City