Active NPI
Shanna Lynn Baus, PHYSICIAN ASSISTANT
- Physician Assistant
- Tampa, FL
National Provider Identifier
1114043262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9103705
- Practice address
- 14020 N 46TH St
Tampa, FL 33613-5778 - Phone
- (813) 972-2000
- NPI assigned
- Mar 21, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9103705 | FL | Primary |
Addresses
Primary practice location
14020 N 46TH St
Tampa, FL 33613-5778
Mailing address
13000 Bruce B Downs Blvd
Tampa, FL 33612-4745
Phone (813) 972-2000
Other practice location 1
13000 Bruce B Downs Blvd
Tampa, FL 33612-4745
Phone (813) 972-2000 ext. 7166
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AN123Z | Other | FL | MEDICARE PTAN |
| PA 9103705 | Other | FL | PHYSICIAN ASSISTANT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert a. Norman, D.O., P.a. | Past | Accepting new patients | |
| Center for Dermatology and Skin Surgery Inc | Past | Accepting new patients | |
| Cary L Dunn M D P a | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- MOHS-Micrographic Surgery Physician
- Sarasota, FL
- NPI 1528023389
-
- Dermatology Physician
- Tampa, FL
- NPI 1558448522
-
- Dermatology Physician
- Riverview, FL
- NPI 1952440711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756166400000",
"number": "1114043262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13000 BRUCE B DOWNS BLVD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336124745",
"telephone_number": "813-972-2000",
"fax_number": "813-972-7657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14020 N 46TH ST",
"city": "TAMPA",
"state": "FL",
"postal_code": "336135778",
"telephone_number": "813-972-2000"
}
],
"practiceLocations": [
{
"address_1": "13000 Bruce B Downs Blvd",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336124745",
"country_code": "US",
"telephone_number": "813-972-2000 x7166",
"fax_number": "813-972-7657",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAUS",
"first_name": "SHANNA",
"middle_name": "LYNN",
"credential": "PHYSICIAN ASSISTANT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-21",
"last_updated": "2025-08-26",
"certification_date": "2025-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9103705",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "AN123Z",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIAN ASSISTANT",
"identifier": "PA 9103705",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.