Individual provider Active NPI

Shawna Jo Guney, MMS, PA-C

  • Physician Assistant
  • Western Springs, IL
National Provider Identifier
1013155381
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA6078 Issued in TX
Practice address
5340 Lawn Ave
Western Springs, IL 60558-1846
Phone
(214) 592-3073
NPI assigned
Jan 26, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085008895 IL
Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistant 363A00000X PA6078 TX Primary

Addresses

Primary practice location

5340 Lawn Ave
Western Springs, IL 60558-1846

Mailing address

5340 Lawn Ave
Western Springs, IL 60558-1846
Phone (214) 592-3073

Other names 1

  • Ms. Shawna Jo Stevenson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA6078TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Health Physicians, PLLC PastSince Dec 15, 2024 Accepting new patients
Citimed, P.a. Past Accepting new patients
Cermak Medical Group LLC Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1232928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1013155381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5340 LAWN AVE",
            "city": "WESTERN SPRINGS",
            "state": "IL",
            "postal_code": "605581846",
            "telephone_number": "214-592-3073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5340 LAWN AVE",
            "city": "WESTERN SPRINGS",
            "state": "IL",
            "postal_code": "605581846",
            "telephone_number": "214-592-3073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNEY",
        "first_name": "SHAWNA",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "MMS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-26",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085008895",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA6078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAWNA",
            "last_name": "STEVENSON",
            "middle_name": "JO",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Western Springs, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.