Individual provider Active NPI

Shawnna Maria Fitzwater, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Henderson, NV
National Provider Identifier
1962715946
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN002711 Issued in NV
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

Updated by the provider on Jan 10, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171130001320 NV Practitioner - Nurse Practitioner 4385947720 Reassigns benefits to 4 organizations

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
Total Family Care SpecialistsGroup PAC ID 6608026307, 5 clinicians

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

LicenseStateTypeSpecialty
341372OHMDRegistered Nurse
APRN002711NVMDFamily Nurse Practitioner
18092OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians to Home LLC CurrentSince May 27, 2019 Accepting new patients
Total Family Care Specialists CurrentSince Jan 1, 2025 Accepting new patients
Reset Primary Care, LTD. CurrentSince Jun 1, 2020 Accepting new patients
Ares Advance Practice LLC CurrentSince Apr 1, 2024 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

  • Direct secure messaging: shawnna.short.1@22324.direct.athenahealth.com
  • FHIR API: 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.

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

Verify at the official NPI Registry.