SHANA M HOLMAN PA-C NPI 1881745081

NPI Information

NPI: 1881745081
Provider Name: SHANA M HOLMAN, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: ROBERT B MCBEATH MD II PC

PECOS Registration: Yes

Address:
2704 N TENAYA WAY
LAS VEGAS, NV
ZIP 89128
Phone: (702) 243-8500
Get Directions

Shana M Holman, PA-C is a medical physician assistant in Las Vegas, NV with 18 years of experience. Shana M Holman, PA-C NPI is 1881745081. 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:

2704 N TENAYA WAY
LAS VEGAS, NV
ZIP 89128-424
Phone: (702) 243-8500
Fax: (702) 363-8753

The NPI 1881745081 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 1/15/2007 and was last updated on 1/23/2017.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA662	ALABAMA	Yes
2	363AM0700X	Physician Assistant	Medical	PA1018	NEVADA	No

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	880400682	OTHER	NEVADA	TAX ID NUMBER
2	PA1018	OTHER	NEVADA	NEVADA PA LICENSE
3	650622859	OTHER	ALABAMA	TAX ID
4	PA662	OTHER	ALABAMA	STATE LICENSE
5	1881745081	OTHER	NEVADA	MEDICAID - SMA
6	V108405	OTHER	NEVADA	SMACC MEDICARE
7	116033	MEDICAID	ALABAMA
8	102I973633	MEDICARE PIN	ALABAMA
9	V107376	MEDICARE PIN	NEVADA

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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