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SHANDA THOMAS SHRADER CPNP-PC NPI 1831579853


NPI Information

NPI: 1831579853
Provider Name: SHANDA THOMAS SHRADER, CPNP-PC
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
27550 STATE HIGHWAY 75
ONEONTA, AL
ZIP 35121
Phone: (205) 625-5711
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Shanda Thomas Shrader, CPNP-PC is a pediatrics nurse practitioner in Oneonta, AL. Shanda Thomas Shrader, CPNP-PC NPI is 1831579853. 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:

27550 STATE HIGHWAY 75
ONEONTA, AL
ZIP 35121-203
Phone: (205) 625-5711

The NPI 1831579853 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 6/4/2015 and was last updated on 5/15/2017.


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
1363LP0200XNurse PractitionerPediatrics1-134326ALABAMAYes
2363LP0200XNurse PractitionerPediatrics208000000XGEORGIANo

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.