Individual provider Active NPI

Shannon Olexa-Fowler, CRNP

  • Adult Health Nurse Practitioner
  • Annapolis, MD
National Provider Identifier
1336057595
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
R239349 Issued in MD
Practice address
600 Ridgely Ave Ste 222
Annapolis, MD 21401-1073
Phone
(410) 266-8049
NPI assigned
Aug 31, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X R239349 MD Primary

Addresses

Primary practice location

600 Ridgely Ave Ste 222
Annapolis, MD 21401-1073

Mailing address

15 Overlook Dr
Prince Frederick, MD 20678-4308

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1336057595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 OVERLOOK DR",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206784308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 RIDGELY AVE STE 222",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011073",
            "telephone_number": "410-266-8049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLEXA-FOWLER",
        "first_name": "SHANNON",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-08-31",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R239349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.