Harvey Shane Adams, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R0077957 Issued in OK

Practice address

12112 Greenlawn Ave
Oklahoma City, OK 73170-4842

Phone

(405) 823-5302

NPI assigned

Sep 6, 2016

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Complete Family Wellness and Urgent Care

  • Primary Care Nurse Practitioner
  • Lindsay, OK
  • NPI 1679153548
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1473120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507075200000",
    "number": "1003363250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12112 GREENLAWN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731704842",
            "telephone_number": "405-823-5302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12112 GREENLAWN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731704842",
            "telephone_number": "405-823-5302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "HARVEY",
        "middle_name": "SHANE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-06",
        "last_updated": "2017-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R0077957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chase Christopher Adams, MD, MS
• Cyrus K Adams
• Deya Adams, BS
• Eboni Adams
• Gretchen May Adams, MD
• Ivana Ladura Adams
• Jared M Adams, MD
• Jennifer N Adams
• Jesse Baker Adams, PHARM. D.
• Joan Louise Adams, APRN-CNS

• Family Nurse Practitioner in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.