Shannon Nowelle Myers

Primary specialty

Mastectomy FitterTaxonomy code 224900000X

License

C73524 Issued in MO

Practice address

4681 Osage Beach Pkwy
Osage Beach, MO 65065-2069

Phone

(573) 302-4909

NPI assigned

May 25, 2026

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1779667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779667200000",
    "number": "1891626487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1265",
            "city": "LAKE OZARK",
            "state": "MO",
            "postal_code": "650491265",
            "telephone_number": "573-280-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4681 OSAGE BEACH PKWY",
            "city": "OSAGE BEACH",
            "state": "MO",
            "postal_code": "650652069",
            "telephone_number": "573-302-4909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "SHANNON",
        "middle_name": "NOWELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-25",
        "last_updated": "2026-05-25",
        "certification_date": "2026-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224900000X",
            "taxonomy_group": "",
            "desc": "Mastectomy Fitter",
            "state": "MO",
            "license": "C73524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McKenzie Taylor Morrow, OTR/L
• Jonathan Muff, DMD
• Joseph Muff, D.D.S.
• Cesar E Munoz, MD
• Christine Munro
• Mytime Senior Day Stay, LLC
• Angela M Neal, BS PHARM
• Kiley Neuman, PA-C
• New Spring Wellness Center LLC
• Andrea Joyce Newburry, M.A.

• Mastectomy Fitter in Osage Beach, MO
• Providers in Osage Beach, MO by specialty
• Mastectomy Fitter in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2026; 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.