Individual provider Active NPI

Shana Perman, PA-C

  • Physician Assistant
  • Washington, DC
National Provider Identifier
1184817975
Registry record updated Oct 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA030915 Issued in DC
Practice address
2021 K St NW
Suite 701
Washington, DC 20006-1003
Phone
(202) 296-2595
NPI assigned
Aug 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA052474 PA
Physician Assistant 363A00000X C04526 MD
Physician Assistant 363A00000X PA030915 DC Primary

Addresses

Primary practice location

2021 K St NW
Suite 701
Washington, DC 20006-1003

Mailing address

2021 K St NW
Suite 701
Washington, DC 20006-1003

Medicare participation

Medicare enrollment files
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PA030915DCMDPhysician Assistant
C04526MDMDPhysician Assistant
MA052474PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Shady Grove Fertility Reproductive Science Center Past Accepting new patients
Shady Grove Reproductive Science Center PC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413936000000",
    "number": "1184817975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 K ST NW",
            "address_2": "SUITE 701",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200061003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 K ST NW",
            "address_2": "SUITE 701",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200061003",
            "telephone_number": "202-296-2595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERMAN",
        "first_name": "SHANA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-24",
        "last_updated": "2014-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA052474",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C04526",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DC",
            "license": "PA030915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.