Ltcnp

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

LTCNP

Practice address

14355 W Crescent Dover Rd
Crescent, OK 73028

Phone

(405) 650-5561

Fax

(405) 400-2559

NPI assigned

Nov 22, 2022

Organization subpart

No

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

Authorized official

Name

Shannon Dunn, DNPNPI 1972272490

Title

Owner

Phone

(405) 560-5561

Specialties & licenses 1

Addresses

Other names 1

• Crescent Community Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shannon Lee Dunn, DNP, APRN-CNP, FNP-C

  • Family Nurse Practitioner
  • Crescent, OK
  • NPI 1972272490
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1669075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765152000000",
    "number": "1154030724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14355 W CRESCENT DOVER RD",
            "city": "CRESCENT",
            "state": "OK",
            "postal_code": "730283311",
            "fax_number": "405-400-2559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14355 W CRESCENT DOVER RD",
            "city": "CRESCENT",
            "state": "OK",
            "postal_code": "73028",
            "telephone_number": "405-650-5561",
            "fax_number": "405-400-2559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LTCNP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-22",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-560-5561",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crescent Community Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jocelyn Janea Humphrey, M.S. CCC-SLP
• Dana K Larue
• Kyle N Lipke, PA
• Logan Hospital and Medical Center Authority
• Logsdon Lotz Drug Inc
• Tabetha Nicole Mathiesen, MS CCC-SLP
• Theresa Lynn McCartney
• Mercy Hospital Logan County, Inc
• Next Plan, LLC
• Amber Dawn Taylor

• Primary Care Nurse Practitioner in Crescent, OK
• Providers in Crescent, OK by specialty
• Primary Care Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.