Active NPI
Shawna Wooden, PA
- Physician Assistant
- Wichita, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 00351
- Practice address
- 9350 E 35TH St N Ste 101
Wichita, KS 67226-2022 - Phone
- (316) 265-1308
- Fax
- (316) 265-4480
- NPI assigned
- Aug 7, 2006
- 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 | 00351 | KS | Primary |
Addresses
Primary practice location
9350 E 35TH St N Ste 101
Wichita, KS 67226-2022
Mailing address
PO Box 47669
Wichita, KS 67201-7669
Phone (316) 265-1308
Other names 1
- Mrs. Shawna Wooden-Greene
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS, NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050422000684 | KS | Practitioner - Physician Assistant | 7719925338 | Reassigns benefits to 8 organizations |
| I20230308001199 | NM | Practitioner - Physician Assistant | 7719925338 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00351 | KS | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascension Via Christi Hospitals Wichita Inc. | Current | Accepting new patients | |
| Southwest Medical Associates, LLC | Current | Accepting new patients | |
| Ascension Via Christi Hospitals Wichita Inc. | Current | Accepting new patients | |
| Via Christi Hospitals Wichita, Inc. | Past | Accepting new patients |
Locations
1947 N Founders Cir
Wichita, KS 67206
Phone (316) 613-4640
929 N Saint Francis Ave
Wichita, KS 67214
Phone (316) 291-4396
1100 N Saint Francis Ave
Ste 400
Wichita, KS 67214
848 N Saint Francis Ave
Ste 3901
Wichita, KS 67214
Phone (316) 268-7030
4101 Indian School Rd NE
Ste 110
Albuquerque, NM 87110
Phone (505) 727-8360
715 Martin Luther King Ave NE
Ste 301
Albuquerque, NM 87102
Phone (505) 727-4500
Interoperability endpoints
- https://api.platform.athenahealth.com/20807/brand/4/csg/1/fhir/r4
Organizations & group practices 11
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.
-
- Family Medicine Physician
- Wichita, KS
- NPI 1871589333
KS
-
- Land Ambulance
- Wichita, KS
- NPI 1548097165
-
- Family Medicine Physician
- Wichita, KS
- NPI 1467448696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709251200000",
"number": "1255340360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 47669",
"city": "WICHITA",
"state": "KS",
"postal_code": "672017669",
"telephone_number": "316-265-1308",
"fax_number": "316-265-4480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9350 E 35TH ST N STE 101",
"city": "WICHITA",
"state": "KS",
"postal_code": "672262022",
"telephone_number": "316-265-1308",
"fax_number": "316-265-4480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODEN",
"first_name": "SHAWNA",
"name_prefix": "Ms.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-07",
"last_updated": "2024-03-01",
"certification_date": "2024-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KS",
"license": "00351",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHAWNA",
"last_name": "WOODEN-GREENE",
"prefix": "MRS.",
"credential": "PA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; 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.