Active NPI
Shawnna Maria Fitzwater, MSN, APRN, FNP-C
- Family Nurse Practitioner
- Henderson, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN002711
- Practice address
- 2722 N Green Valley Parkway
Unit 50186
Henderson, NV 89014-8901 - Phone
- (725) 250-1188
- Fax
- (725) 251-5211
- NPI assigned
- Jul 20, 2010
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 341372 | OH | |
| Family Nurse Practitioner | 363LF0000X | 18092 | OH | |
| Family Nurse Practitioner | 363LF0000X | APRN002711 | NV | Primary |
Addresses
Primary practice location
2722 N Green Valley Parkway
Unit 50186
Henderson, NV 89014-8901
Mailing address
2722 N Green Valley Pkwy
Unit 50186
Henderson, NV 89014-7127
Phone (725) 250-1188
Other practice location 1
5380 S Rainbow Blvd Ste 120
Las Vegas, NV 89118-1878
Phone (702) 463-4040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3280 N Rainbow Blvd
Suite 110
Las Vegas, NV 89108-5011
Phone (702) 233-4555
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 341372 | OH | MD | Registered Nurse |
| APRN002711 | NV | MD | Family Nurse Practitioner |
| 18092 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians to Home LLC | Current | Accepting new patients | |
| Total Family Care Specialists | Current | Accepting new patients | |
| Reset Primary Care, LTD. | Current | Accepting new patients | |
| Ares Advance Practice LLC | Current | Accepting new patients |
Locations
2843 Saint Rose Pkwy
Ste 110
Henderson, NV 89052
Phone (702) 233-4569
2900 W Horizon Ridge Pkwy
Ste 121
Henderson, NV 89052
Phone (702) 281-1267
840 S Rancho Dr
Ste 4921
Las Vegas, NV 89106
3280 N Rainbow Blvd
#110
Las Vegas, NV 89108
Phone (702) 233-4555
5660 W Flamingo Rd
Ste B
Las Vegas, NV 89103
Phone (702) 596-2188
616 S 8th St
Las Vegas, NV 89101
Phone (702) 622-8555
Interoperability endpoints
- shawnna.short.1@22324.direct.athenahealth.com
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 4
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.
-
- Primary Care Clinic/Center
- Las Vegas, NV
- NPI 1629362959
-
- Primary Care Clinic/Center
- Las Vegas, NV
- NPI 1649867250
-
- Internal Medicine Physician
- Henderson, NV
- NPI 1619276714
-
- Primary Care Nurse Practitioner
- Las Vegas, NV
- NPI 1649739087
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673308800000",
"number": "1962715946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2722 N GREEN VALLEY PKWY",
"address_2": "UNIT 50186",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890147127",
"telephone_number": "725-250-1188",
"fax_number": "725-251-5211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2722 N GREEN VALLEY PARKWAY",
"address_2": "UNIT 50186",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890148901",
"telephone_number": "725-250-1188",
"fax_number": "725-251-5211"
}
],
"practiceLocations": [
{
"address_1": "5380 S Rainbow Blvd Ste 120",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891181878",
"country_code": "US",
"telephone_number": "702-463-4040",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FITZWATER",
"first_name": "SHAWNNA",
"middle_name": "MARIA",
"credential": "MSN, APRN, FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-20",
"last_updated": "2023-01-10",
"certification_date": "2023-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "341372",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "18092",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NV",
"license": "APRN002711",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.