NPIMap

Individual provider Active NPI

Shami Lynn Fowler, FNP-C

  • Family Medicine Physician
  • Wright City, OK
National Provider Identifier
1104441849
Registry record updated Jun 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
121401 Issued in OK
Practice address
207 W 10TH St
Wright City, OK 74766
Phone
(580) 981-2104
Fax
(580) 981-2105
NPI assigned
Jun 9, 2020
Last updated
Jun 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 121401 OK Primary

Addresses

Primary practice location

207 W 10TH St
Wright City, OK 74766

Mailing address

PO Box 650
Wright City, OK 74766-0650
Phone (580) 981-2104

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201014001088 OK Practitioner - Nurse Practitioner 4082034947 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

207 W 10TH St
Wright City, OK 74766-0650

PO Box
Suite 650
Wright City, OK 74766

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Wound Management LLC CurrentSince Apr 3, 2025 Accepting new patients
Lane Family Clinic CurrentSince Jun 14, 2020 Accepting new patients
Apex Wound Specialists LLC CurrentSince Apr 25, 2025 Accepting new patients
Lane Family Clinic LLC Family Medicine CurrentSince May 16, 2020 Accepting new patients
Essent PRMC LP Past Accepting new patients
Good Honest Medicine Family Medicine Past Accepting new patients

Locations

7233 S 85th East Ave
Ste 100
Tulsa, OK 74133
Phone (918) 720-4957

8211 E Regal Pl
Tulsa, OK 74133
Phone (918) 740-9476

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FHCJCD/Endpoint/FHCJCD

Organizations & group practices 6

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

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623974400000",
    "number": "1104441849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650",
            "city": "WRIGHT CITY",
            "state": "OK",
            "postal_code": "747660650",
            "telephone_number": "580-981-2104",
            "fax_number": "580-981-2105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 W 10TH ST",
            "city": "WRIGHT CITY",
            "state": "OK",
            "postal_code": "74766",
            "telephone_number": "580-981-2104",
            "fax_number": "580-981-2105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "SHAMI",
        "middle_name": "LYNN",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-09",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "121401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wright City, OK

Sources for this page

Verify at the official NPI Registry.