Individual provider Active NPI

Shawna Brit Fury, ARNP

  • Family Nurse Practitioner
  • Davenport, IA
National Provider Identifier
1942721584
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A124780 Issued in IA
Practice address
1820 W 3Rd St
Davenport, IA 52802-1812
Phone
(563) 421-0500
NPI assigned
Jul 5, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A124780 IA Primary

Addresses

Primary practice location

1820 W 3Rd St
Davenport, IA 52802-1812

Mailing address

5141 Coventry CT
Davenport, IA 52807-3858
Phone (505) 554-5770

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shawna.fury@direct.genesishealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20170918000339 IA Practitioner - Nurse Practitioner 8729352695 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Care IncGroup PAC ID 9830008895, 56 clinicians

Practice addresses (Care Compare)

500 W River Dr
Davenport, IA 52801-1014
Phone (563) 336-3000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A124780IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Care Inc CurrentSince Mar 21, 2022 Accepting new patients
Community Health Care, Inc. CurrentSince Mar 21, 2022 Accepting new patients
Community Health Care, Inc. Current Accepting new patients

Locations

925 S 4th St
Clinton, IA 52732
Phone (563) 205-3578

1510 E Rusholme St
Davenport, IA 52803
Phone (563) 359-6633

500 W River Dr
Davenport, IA 52801
Phone (563) 327-2035

312 Iowa Ave
Muscatine, IA 52761
Phone (563) 264-8506

2925 Cedar St
Ste 2
Muscatine, IA 52761
Phone (563) 263-7410

1221 Park Ave
Muscatine, IA 52761

Interoperability endpoints

  • Direct secure messaging: sfury635436@direct.ochin.org

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1499212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1942721584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5141 COVENTRY CT",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528073858",
            "telephone_number": "505-554-5770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 W 3RD ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528021812",
            "telephone_number": "563-421-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FURY",
        "first_name": "SHAWNA",
        "middle_name": "BRIT",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-05",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A124780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shawna.fury@direct.genesishealth.com",
            "affiliation": "N",
            "endpointDescription": "Genesis Health System Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "3200 W Kimberly Rd Ste 2",
            "city": "Davenport",
            "state": "IA",
            "country_code": "US",
            "postal_code": "528063059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

Verify at the official NPI Registry.