MS. SHAYNA FASANELLA NPI 1407349384

NPI Information

  • NPI: 1407349384
  • Provider Name: MS. SHAYNA FASANELLA
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5540 PGA BLVD STE 200
    PALM BEACH GARDENS, FL
    ZIP 33418
  • Phone: (561) 571-4000

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NPI Details

MS. Shayna Fasanella is a surgical physician assistant in Palm Beach Gardens, FL. MS. Shayna Fasanella NPI is 1407349384. 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:

5540 PGA BLVD STE 200
PALM BEACH GARDENS, FL
ZIP 33418-987
Phone: (561) 571-4000
Fax: (561) 491-2271

The NPI 1407349384 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 6/14/2018 and was last updated on 1/28/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedical5601008742MICHIGANNo
2363AS0400XPhysician AssistantSurgicalPA9112616FLORIDAYes

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: 3/30/2025

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