Individual provider Active NPI

Shannon G Resto, NNP-BC

  • Critical Care Neonatal Nurse Practitioner
  • Yukon, OK
National Provider Identifier
1760114334
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Neonatal Nurse PractitionerTaxonomy code 363LN0005X
License
209617 Issued in OK
Practice address
11432 NW 101St St
Yukon, OK 73099-7463
Phone
(405) 501-4784
NPI assigned
Jun 30, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal Nurse Practitioner 363LN0000X 209617 OK
Critical Care Neonatal Nurse Practitioner 363LN0005X 209617 OK Primary

Addresses

Primary practice location

11432 NW 101St St
Yukon, OK 73099-7463

Mailing address

11432 NW 101St St
Yukon, OK 73099-7463
Phone (405) 501-4784

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241113001102 OK Practitioner - Nurse Practitioner 3779017710 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ou Health Partners, Inc CurrentSince Oct 7, 2024 Accepting new patients
Ou Health Partners, Inc CurrentSince Oct 7, 2024 Accepting new patients
Warren Clinic Inc Past Accepting new patients

Locations

1200 Childrens Ave
Ste 9A
Oklahoma City, OK 73104
Phone (405) 271-2234

900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1656547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1760114334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11432 NW 101ST ST",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730997463",
            "telephone_number": "405-501-4784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11432 NW 101ST ST",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730997463",
            "telephone_number": "405-501-4784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESTO",
        "first_name": "SHANNON",
        "middle_name": "G",
        "name_prefix": "Mrs.",
        "credential": "NNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-30",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "OK",
            "license": "209617",
            "primary": false
        },
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "OK",
            "license": "209617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yukon, OK

Sources for this page

Verify at the official NPI Registry.