SHANNA M MCGRATH MPH PA-C RD CDE NPI 1548300585

NPI Information

NPI: 1548300585
Provider Name: SHANNA M MCGRATH, MPH, PA-C, RD, CDE
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: SOUTHCENTRAL FOUNDATION

PECOS Registration: Yes

Address:
1001 S KNIK GOOSE BAY RD
WASILLA, AK
ZIP 99654
Phone: (907) 631-7800
Get Directions

Shanna M Mcgrath, MPH, PA-C, RD, CDE is a medical physician assistant in Wasilla, AK with 4 years of experience. Shanna M Mcgrath, MPH, PA-C, RD, CDE NPI is 1548300585. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduation Year:2020

The provider's business location address is:

1001 S KNIK GOOSE BAY RD
WASILLA, AK
ZIP 99654-083
Phone: (907) 631-7800

The NPI 1548300585 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 2/7/2007 and was last updated on 9/7/2021.

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	133V00000X	Dietitian, Registered		193	ALASKA	No
2	390200000X	Student in an Organized Health Care Education/Training Program			UTAH	No
3	363AM0700X	Physician Assistant	Medical	178095	ALASKA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	193	OTHER	ALASKA	STATE OF ALASKA LIC

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

NPI Synchronization or Removal

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