Cassidy Michaela Shive, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-12609 Issued in NC

Practice address

1530 Union Rd Ste a
Gastonia, NC 28054-2201

Phone

(704) 867-6188

Fax

(704) 866-4437

NPI assigned

May 16, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: cassidy.shive@foothillspsychshelby.direct.kno2fy.com

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

{
    "created_epoch": "1652659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1154068757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 UNION RD STE A",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542201",
            "telephone_number": "704-867-6188",
            "fax_number": "704-866-4437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 UNION RD STE A",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542201",
            "telephone_number": "704-867-6188",
            "fax_number": "704-866-4437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIVE",
        "first_name": "CASSIDY",
        "middle_name": "MICHAELA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-16",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-12609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hans Sherrod
• Chen Shi, MD
• Rebecca L. Shiflet, CCC-SLP
• Katherine Claire Shinners, CNM
• Shiv Pharmacy Inc
• Megan Nicole Shongut, FNP-C
• Jennifer Shope, RN
• Amy Parr Shortridge, FNP-C
• Matthew N Shortridge, CRNA
• Joseph Shotts, OTD, OTR/L

• Physician Assistant in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.