Ehealth 360

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

EHEALTH 360

Practice address

202 N 1St St
Donahue, IA 52746-7711

Phone

(863) 221-2351

NPI assigned

May 1, 2023

Last updated

May 1, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shannon Danielle Fry, MSN, APRN FNP-C CMENPI 1982335022

Title

Aprn/Owner

Phone

(863) 221-2351

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shannon Danielle Fry, APRN

  • Family Nurse Practitioner
  • Rock Island, IL
  • NPI 1982335022
  NPD Authorized official

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682899200000",
    "number": "1316636913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5789 CORDOVA RD",
            "city": "ERIE",
            "state": "IL",
            "postal_code": "612509740",
            "telephone_number": "186-322-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 N 1ST ST",
            "city": "DONAHUE",
            "state": "IA",
            "postal_code": "527467711",
            "telephone_number": "863-221-2351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EHEALTH 360",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A",
        "authorized_official_last_name": "FRY",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "DANIELLE",
        "authorized_official_title_or_position": "APRN/OWNER",
        "authorized_official_telephone_number": "863-221-2351",
        "authorized_official_credential": "MSN, APRN FNP-C CME"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Louise Onken, D.C.

• Primary Care Clinic/Center in Donahue, IA
• Providers in Donahue, IA by specialty
• Primary Care Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; 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.