KAITLIN RACHAEL SHONNARD PA-C NPI 1437771607

NPI Information

NPI: 1437771607
Provider Name: KAITLIN RACHAEL SHONNARD, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
2933 LAKEWOOD VILLAGE DR
NORTH LITTLE ROCK, AR
ZIP 72116
Phone: (501) 435-1417
Get Directions

Kaitlin Rachael Shonnard, PA-C is a medical physician assistant in North Little Rock, AR with 3 years of experience. Kaitlin Rachael Shonnard, PA-C NPI is 1437771607. 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:

2933 LAKEWOOD VILLAGE DR
NORTH LITTLE ROCK, AR
ZIP 72116-033
Phone: (501) 435-1417
Fax: (501) 232-2116

The NPI 1437771607 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 5/11/2020 and was last updated on 11/9/2023.

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
1	363AM0700X	Physician Assistant	Medical	PA2521	NEVADA	No
2	363AM0700X	Physician Assistant	Medical	PA-1198	ARKANSAS	Yes

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: 4/28/2024

NPI Synchronization or Removal

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