Provider Type Icon

COLETTE JEANANN SHRADER MS NPI 1730455676


NPI Information

NPI: 1730455676
Provider Name: COLETTE JEANANN SHRADER, MS
Classification: Anaplastologist - 229N00000X
Entity Type: Individual
Address:
628 S PRESA ST # 5
SAN ANTONIO, TX
ZIP 78210
Phone: (210) 802-8313
Get Directions

Colette Jeanann Shrader, MS is an anaplastologist in San Antonio, TX. The provider is an anaplastologist is a professional who creates prostheses for the face and body. Patients treated include those missing anatomy due to cancer, traumatic injury, or birth differences. Generally, there are no state licensing requirements for anaplastologists. Certification specific to anaplastology is provided through the Board for Certified Clinical Anaplastology (BCCA) with a credential title of Certified Clinical Anaplastologist (CCA). Colette Jeanann Shrader, MS NPI is 1730455676. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

628 S PRESA ST # 5
SAN ANTONIO, TX
ZIP 78210-054
Phone: (210) 802-8313

The enumeration date for this NPI number is 3/26/2012 and was last updated on 12/7/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1229N00000XAnaplastologistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.