Active NPI
Jennifer Marie Shinners, LMSW
- Social Worker
- Davenport, IA
National Provider Identifier
1730934811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 119767
- Practice address
- 2415 E Lombard St
Davenport, IA 52803-2319 - Phone
- (563) 949-9391
- NPI assigned
- Apr 22, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 119767 | IA | Primary |
Addresses
Primary practice location
2415 E Lombard St
Davenport, IA 52803-2319
Mailing address
131 E Meuse St
Blue Grass, IA 52726-9539
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 119767 | IA | MD | Medical-Surgical Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713744000000",
"number": "1730934811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 E MEUSE ST",
"city": "BLUE GRASS",
"state": "IA",
"postal_code": "527269539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2415 E LOMBARD ST",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528032319",
"telephone_number": "563-949-9391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHINNERS",
"first_name": "JENNIFER",
"middle_name": "MARIE",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-04-22",
"last_updated": "2024-04-22",
"certification_date": "2024-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IA",
"license": "119767",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Davenport, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.