Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SHANNON BRUEY PMHMP LLC
NPI 1093610339
Nurse Practitioner - Psychiatric/Mental Health in Stillwater, OK

Q: What is Shannon Bruey Pmhmp LLC's NPI number?

The NPI number for Shannon Bruey Pmhmp LLC is 1093610339. It was assigned to this organization in the NPPES registry on October 8, 2026.

Q: What is Shannon Bruey Pmhmp LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since October 08, 2026

1750 W LAKEVIEW RD, STILLWATER, OK 74075(405) 984-4802(405) 984-4819 Get Directions Write a Review

NPPES record added: October 8, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

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About Shannon Bruey Pmhmp Llc NPPES

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

SHANNON BRUEY PMHMP LLC (NPI 1093610339) is a healthcare organization registered as a psychiatric/mental health in Stillwater, Oklahoma and active in the NPI registry since October 2026. The organization lists Shannon Bruey, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1093610339

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameSHANNON BRUEY PMHMP LLC

Location Address1750 W LAKEVIEW RDStillwater, OK 74075-2746

Mailing Address1750 W Lakeview RdStillwater, OK 74075-2746 · (405) 984-4802 · Fax (405) 984-4819

Phone(405) 984-4802

Fax(405) 984-4819

Organization SubpartNo

Authorized OfficialShannon BrueySole Member · (405) 984-4802

Enumeration DateOctober 8, 2026

NPPES CertifiedOctober 8, 2026

✔ NPI 1093610339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

1750 W LAKEVIEW RD, Stillwater, OK 74075

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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 Bruey Pmhmp LLC's NPI number?

The NPI number for Shannon Bruey Pmhmp LLC is 1093610339. It was assigned to this organization in the NPPES registry on October 8, 2026.

Where is Shannon Bruey Pmhmp LLC located?

Shannon Bruey Pmhmp LLC is located at 1750 W Lakeview Rd, Stillwater, OK 74075. The listed phone number is (405) 984-4802.

What is Shannon Bruey Pmhmp LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Shannon Bruey Pmhmp LLC was last updated on October 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.