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SHANNON SMITH DRACHENBERG PA-C NPI 1790093805


NPI Information

NPI: 1790093805
Provider Name: SHANNON SMITH DRACHENBERG, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: SOUTH AUSTIN FAMILY PRACTICE CLINIC LLP

PECOS Registration: Yes

Address:
5625 EIGER RD
SUITE 200
AUSTIN, TX
ZIP 78735
Phone: (512) 892-7076
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Shannon Smith Drachenberg, PA-C is a medical physician assistant in Austin, TX with 14 years of experience. Shannon Smith Drachenberg, PA-C NPI is 1790093805. 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:

5625 EIGER RD
SUITE 200
AUSTIN, TX
ZIP 78735-976
Phone: (512) 892-7076

The NPI 1790093805 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/23/2010 and was last updated on 2/3/2014.


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
1363AM0700XPhysician AssistantMedicalYes

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.