Active NPI
Shannon Bruey Pmhmp LLC
- Psychiatric/Mental Health Nurse Practitioner
- Stillwater, OK
National Provider Identifier
1093610339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- SHANNON BRUEY PMHMP LLC
- Practice address
- 1750 W Lakeview Rd
Stillwater, OK 74075-2746 - Phone
- (405) 984-4802
- Fax
- (405) 984-4819
- NPI assigned
- Oct 8, 2026
- Last updated
- Oct 8, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shannon Bruey, PMHNP-BC, APRN-CNP
- Title
- Sole Member
- Phone
- (405) 984-4802
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NU | Primary |
Addresses
Primary practice location
1750 W Lakeview Rd
Stillwater, OK 74075-2746
Mailing address
1750 W Lakeview Rd
Stillwater, OK 74075-2746
Phone (405) 984-4802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791417600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791417600000",
"number": "1093610339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1750 W LAKEVIEW RD",
"city": "STILLWATER",
"state": "OK",
"postal_code": "740752746",
"telephone_number": "405-984-4802",
"fax_number": "405-984-4819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1750 W LAKEVIEW RD",
"city": "STILLWATER",
"state": "OK",
"postal_code": "740752746",
"telephone_number": "405-984-4802",
"fax_number": "405-984-4819"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHANNON BRUEY PMHMP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-08",
"last_updated": "2026-10-08",
"certification_date": "2026-10-08",
"status": "A",
"authorized_official_last_name": "BRUEY",
"authorized_official_first_name": "SHANNON",
"authorized_official_title_or_position": "SOLE MEMBER",
"authorized_official_telephone_number": "405-984-4802",
"authorized_official_credential": "PMHNP-BC, APRN-CNP"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stillwater, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.