Shannon Dawn Flynn, BA, CM

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

4502 E 41St St
Ou Impact-SCC
Tulsa, OK 74135-2553

Phone

(918) 660-3150

Fax

(918) 660-3143

NPI assigned

Jul 3, 2007

Last updated

Nov 21, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1790983591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4502 E 41ST ST",
            "address_2": "OU IMPACT-SCC",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352553",
            "telephone_number": "918-660-3150",
            "fax_number": "918-660-3143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 E 41ST ST",
            "address_2": "OU IMPACT-SCC",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352553",
            "telephone_number": "918-660-3150",
            "fax_number": "918-660-3143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "SHANNON",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "BA, CM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-03",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200389830B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anita Flusche
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• Jason Everett Fly, P.T.
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• Laurie Wolford Flynn, MD
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• Hanna Fogg, D.O.
• Kristi Renee Fogleman, RN, BSN,
• Michael J Fogli, M.D.

• Case Manager/Care Coordinator in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Case Manager/Care Coordinator in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.