NPIMap

Individual provider Active NPI

Erin M Shanaver, PA

  • Medical Physician Assistant
  • Derry, NH
National Provider Identifier
1144249517
Registry record updated Oct 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0532P Issued in NH
Practice address
1 Parkland Dr
Derry, NH 03038-2746
Phone
(603) 421-2143
Fax
(603) 421-2344
NPI assigned
Jul 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0532P NH Primary

Addresses

Primary practice location

1 Parkland Dr
Derry, NH 03038-2746

Mailing address

1 Parkland Dr
Derry, NH 03038-2746
Phone (603) 421-2143

Other identifiers 1

IdentifierTypeStateIssuer
30333268MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070523000139 MA Practitioner - Physician Assistant 0446217509 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0532NHMDOptometrist
1822MAMDPhysical Therapist
0532PNHMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc CurrentSince Dec 23, 2018 Accepting new patients
Lawrence General Hospital CurrentSince Oct 20, 2025 Accepting new patients
Lawrence General Hospital CurrentSince Oct 20, 2025 Accepting new patients
Steward Medical Group, Inc CurrentSince Dec 23, 2018 Accepting new patients
Inpatient Physicians of Derry PLLC Past Accepting new patients
Inpatient Consultants of Massachusetts, P.C. Medical Past Accepting new patients
Appledore Medical Group, Inc Past Accepting new patients
Anna Petropoulos Weissleder, MD, Inc PastSince Jul 13, 2015 Accepting new patients
Quarry State Inpatient Services, LLC Past Accepting new patients
General Primary Care of Lawrence Past Accepting new patients
Emergency Physicians of Derry PLLC Past Accepting new patients

Locations

200 Groton Rd
Ayer, MA 01432
Phone (978) 784-9000

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525

1 General St
Lawrence, MA 01841
Phone (978) 946-8103

70 East St
Methuen, MA 01844
Phone (978) 682-1906

800 Washington St
Norwood, MA 02062
Phone (781) 278-6264

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3045/brand/1/csg/1/fhir/r4

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381449600000",
    "number": "1144249517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PARKLAND DR",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030382746",
            "telephone_number": "603-421-2143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PARKLAND DR",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030382746",
            "telephone_number": "603-421-2143",
            "fax_number": "603-421-2344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANAVER",
        "first_name": "ERIN",
        "middle_name": "M",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2013-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NH",
            "license": "0532P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30333268",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Derry, NH

Sources for this page

Verify at the official NPI Registry.