Individual provider Active NPI

Shawanna Monique Humphrey, FNP

  • Family Nurse Practitioner
  • Fuquay Varina, NC
National Provider Identifier
1972241842
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5016218 Issued in NC
Practice address
605 N Main St
Fuquay Varina, NC 27526-2026
Phone
(919) 552-8299
NPI assigned
May 21, 2022
Last updated
Apr 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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 5016218 NC Primary

Addresses

Primary practice location

605 N Main St
Fuquay Varina, NC 27526-2026

Mailing address

605 N Main St
Fuquay Varina, NC 27526-2026
Phone (919) 552-8299

Other names 1

  • Shawana Monique Humphrey Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20240529002871 NC Practitioner - Nurse Practitioner 0143662601 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rural Health Group IncGroup PAC ID 9739090226, 65 clinicians
Minuteclinic Diagnostic of North Carolina PCGroup PAC ID 6002837572, 208 clinicians

Practice addresses (Care Compare)

114 Market St
Enfield, NC 27823-1423
Phone (252) 445-2332

605 N Main St
Fuquay Varina, NC 27526-2026
Phone (866) 389-2727

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Health Group, Inc. Current Accepting new patients
Minuteclinic Primary Care North Carolina PLLC Family CurrentSince Jun 4, 2025 Accepting new patients
Theoria Medical CurrentSince Oct 14, 2024 Accepting new patients
Rural Health Group, Inc. CurrentSince Jan 19, 2026 Accepting new patients
Rural Health Group, Inc. Current Accepting new patients
Minuteclinic Diagnostic of North Carolina PC Family CurrentSince Apr 24, 2025 Accepting new patients
Greene County Health Care Incorporated Dba Contentnea Health CurrentSince Jun 1, 2024 Accepting new patients
Greene County Health Care Incorporated CurrentSince Jun 1, 2024 Accepting new patients
Rural Health Group, Inc. CurrentSince Jan 19, 2026 Accepting new patients
Rural Health Group, Inc. Current Accepting new patients
Rural Health Group, Inc. Past Accepting new patients
Theoria Medical Past Accepting new patients
Kids First Pediatrics of Raleigh, PLLC PastSince May 1, 2022 Accepting new patients

Locations

10100 S Main St
Archdale, NC 27263
Phone (336) 431-0715

114 Market St
Enfield, NC 27823
Phone (252) 445-2332

605 N Main St
Fuquay Varina, NC 27526
Phone (919) 552-8299

9425 NC Highway 305
Jackson, NC 27845
Phone (252) 534-1661

312 Warren Ave
Kinston, NC 28501
Phone (252) 523-0082

430 W Health Center Dr
Nags Head, NC 27959
Phone (252) 441-3116

2340 Spring Forest Rd
Raleigh, NC 27615
Phone (919) 790-6401

6840 Glenwood Ave
Raleigh, NC 27612
Phone (401) 770-4415

1381 Medical Center Dr
Roanoke Rapids, NC 27870
Phone (252) 535-1414

919 Jr High School Rd
Scotland Neck, NC 27874
Phone (252) 826-3143

140 School Dr
Snow Hill, NC 28580
Phone (252) 747-5841

7 Professional Dr
Snow Hill, NC 28580
Phone (252) 747-2921

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HHHGAA

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1653091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1972241842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 N MAIN ST",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275262026",
            "telephone_number": "919-552-8299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 N MAIN ST",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275262026",
            "telephone_number": "919-552-8299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHREY",
        "first_name": "SHAWANNA",
        "middle_name": "MONIQUE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-21",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5016218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAWANA",
            "last_name": "HUMPHREY",
            "middle_name": "MONIQUE",
            "credential": "FNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Fuquay Varina, NC

Sources for this page

Verify at the official NPI Registry.