MRS. SHANNON REAVIS ARNP FNP-C
NPI 1073153029
Nurse Practitioner - Family in Claremore, OK

Q: What is Shannon Reavis's NPI number?

The NPI number for Shannon Reavis is 1073153029. It was assigned to this individual provider in the NPPES registry on January 7, 2020. The provider is also known as Shannon Cooper.

Q: What is Shannon Reavis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Shannon Reavis was last updated on January 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 07, 2020

21625 E 460 RD, CLAREMORE, OK 74019(918) 606-5702 Get Directions Write a Review

NPPES record last updated: January 7, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mrs. Shannon Reavis Arnp Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. SHANNON REAVIS ARNP FNP-C (NPI 1073153029) is an individual family provider in Claremore, Oklahoma, licensed in Oklahoma (F04190051) and active in the NPI registry since January 2020. She maintains a secondary practice location in Vinita.

NPPES Registry Identity

NPI1073153029

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. SHANNON REAVISCredential: ARNP FNP-C

Location Address21625 E 460 RDClaremore, OK 74019-2876

Mailing Address35904 S Highway 82Vinita, OK 74301-6743 · (918) 782-1414

Phone(918) 606-5702

Sole ProprietorNo

Enumeration DateJanuary 7, 2020

✔ NPI 1073153029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in OK · F04190051

21625 E 460 RD, Claremore, OK 74019

Open in Google Maps ↗

Other Names 1

Former Name (1)Shannon Cooper

Secondary Practice Location 1

Location 135904 S Highway 82Vinita, OK 74301-6743 · Phone (918) 782-1414

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Reavis's NPI number?

The NPI number for Shannon Reavis is 1073153029. It was assigned to this individual provider in the NPPES registry on January 7, 2020. The provider is also known as Shannon Cooper.

Where is Shannon Reavis located?

Shannon Reavis practices at 21625 E 460 Rd, Claremore, OK 74019. The listed phone number is (918) 606-5702.

What is Shannon Reavis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Shannon Reavis was last updated on January 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.