Individual ProviderHarvey Shane AdamsNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address12112 Greenlawn Ave, Oklahoma City, OK 73170-4842(405) 823-5302PECOS EnrollmentBased on the most recent information from CMS, provider Harvey Shane Adams does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:05 AM.Profile DetailsProvider ID1003363250Provider TypeIndividualFull NameAdams, Harvey ShaneCredentialAPRNGenderMaleSole ProprietorYesEnumeration Date9/6/2016Last Updated10/4/2017Contact InformationPractice LocationPractice Address12112 Greenlawn Ave, Oklahoma City, OK 73170-4842Phone(405) 823-5302FaxUnlisted FaxMailing LocationMailing Address12112 Greenlawn Ave, Oklahoma City, OK 73170-4842Phone(405) 823-5302FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseR0077957Oklahoma