Individual provider Active NPI

Shawn A. Koury, NP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Pueblo, CO
National Provider Identifier
1306263181
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0101601-NP Issued in CO
Practice address
1104 N Main St
Pueblo, CO 81003-2826
Phone
(719) 298-4430
NPI assigned
Mar 18, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN.0991118-NP CO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0101601-NP CO Primary
Nurse Practitioner 363L00000X APN.0991118-NP CO

Addresses

Primary practice location

1104 N Main St
Pueblo, CO 81003-2826

Mailing address

1104 N Main St
Pueblo, CO 81003-2826
Phone (719) 298-4430

Other identifiers 1

IdentifierTypeStateIssuer
23634073MedicaidCO

Other names 1

  • Shawn A. Koury Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150825003646 CO Practitioner - Nurse Practitioner 2365758109 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unity Care, PLLCGroup PAC ID 8022476589, 2 clinicians

Practice addresses (Care Compare)

1104 N Main St
Pueblo, CO 81003-2826
Phone (719) 298-4430

Merit-based Incentive Payment System (MIPS)

Final score
93.85 of 100Reported as group
Quality
91.15
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0101601-NPCOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Care PLLC Family CurrentSince Mar 22, 2023 Accepting new patients
Emergency Medical Specialists, PC Hospitalist CurrentSince Aug 1, 2015 Accepting new patients
Usacs of Colorado Inc CurrentSince Oct 1, 2022 Accepting new patients
Usacs of Colorado, Inc Current Accepting new patients
A Clear Mind Psychiatric/Mental Health CurrentSince Jan 1, 2026 Accepting new patients
Usacs of Colorado Inc CurrentSince Oct 1, 2022 Accepting new patients
Emergency Medical Specialists, PC Hospitalist CurrentSince Aug 1, 2015 Accepting new patients
Advanced Practice Headache and Primary Care Clinic Family PastSince Jan 1, 2026 Accepting new patients
Unity Care PLLC PastSince Apr 1, 2023 Accepting new patients

Locations

1400 E Boulder St
Colorado Springs, CO 80909
Phone (719) 365-5120

4050 Briargate Pkwy
Colorado Springs, CO 80920
Phone (719) 364-5000

5623 Pulpit Peak Vw
Colorado Springs, CO 80918
Phone (719) 272-3600

7700 S Broadway
Littleton, CO 80122
Phone (303) 269-4786

1104 N Main St
Pueblo, CO 81003
Phone (719) 251-9023

2027 Columbia Dr
Pueblo, CO 81005
Phone (719) 566-1703

1008 Minnequa Ave
Pueblo, CO 81004
Phone (719) 557-5656

16420 W US Highway 24
Woodland Park, CO 80863
Phone (719) 632-5020

Interoperability endpoints

  • Direct secure messaging: shawn.koury.1@28802.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/20268/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/BACIDD/Endpoint/BACIDD

Organizations & group practices 9

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": "1395100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1306263181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 N MAIN ST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810032826",
            "telephone_number": "719-298-4430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 N MAIN ST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810032826",
            "telephone_number": "719-298-4430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOURY",
        "first_name": "SHAWN",
        "middle_name": "A.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-18",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0991118-NP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "0101601-NP",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN.0991118-NP",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "23634073",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAWN",
            "last_name": "KOURY",
            "middle_name": "A.",
            "credential": "NP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.