Active NPI
Shannon Olexa-Fowler, CRNP
- Adult Health Nurse Practitioner
- Annapolis, MD
National Provider Identifier
1336057595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- R239349
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.