Shacara Eggleston, MPAS, ATC, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9116169 Issued in FL

Practice address

5860 Ranch Lake Blvd Ste 200
Lakewood Ranch, FL 34202-3719

Phone

(941) 388-8997

NPI assigned

Jul 8, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/26589/brand/1/csg/1/fhir/r4

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.

• Allcare Medical Centers, P. C.

  • Family Medicine Physician
  • Bradenton, FL
  • NPI 1154350858
  NPD (past)
• Unique Management Group

  • Primary Care Clinic/Center
  • Pinellas Park, FL
  • NPI 1528622586
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1114589405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5860 RANCH LAKE BLVD STE 200",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342023719",
            "telephone_number": "941-388-8997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5860 RANCH LAKE BLVD STE 200",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342023719",
            "telephone_number": "941-388-8997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGGLESTON",
        "first_name": "SHACARA",
        "credential": "MPAS, ATC, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-08",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9116169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114589405",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chiraly Dutrevil, FNP
• Edens & Kaplan PL
• Brian Michael Edens, D.C.
• Sydney Edwards Froisland
• Jeanne Egan, OT
• Elevate Sleep & TMJ Sarasota, PLLC
• Eliacore, LLC
• Carol Kolde Ellis, M.ED CCC-SLP
• Dana Ellis, M.D.
• Scott B Elsbree, M.D.

• Physician Assistant in Lakewood Ranch, FL
• Providers in Lakewood Ranch, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.