Shauna L McBride, PA C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

58509011206 Issued in UT

Practice address

168 N 100 E
St George, UT 84770-2893

Phone

(435) 986-2565

Fax

(435) 986-2577

NPI assigned

Jan 17, 2006

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 4

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southwest Utah Community Health CenterGroup PAC ID 5799692398, 28 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St. George Regional Hospital Hospital, St George, UT, CCN 460021

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shauna.mcbride@swuchc.eclinicaldirectplus.com

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.

• Southwest Utah Community Health Center

  • Federally Qualified Health Center (FQHC)
  • St George, UT
  • NPI 1659358687

  Family Medicine, UT

  Medicare reassignment Care Compare group NPD
• Southwest Utah Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Hurricane, UT
  • NPI 1780090944
  Care Compare group NPD (past)
• Southwest Utah Community Health Center

  • Clinic/Center
  • Cedar City, UT
  • NPI 1073988077
  Care Compare group
• Southwest Utah Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Springdale, UT
  • NPI 1275314528
  Care Compare group
• Southwest Utah Public Health Dept

  • Public Health or Welfare Agency
  • St George, UT
  • NPI 1306841606
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ihc Health Services, Inc.

  • General Acute Care Hospital
  • St George, UT
  • NPI 1366452880

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395187200000",
    "number": "1457330532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 N 100 E",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847702893",
            "telephone_number": "435-986-2565",
            "fax_number": "435-986-2577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 N 100 E",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847702893",
            "telephone_number": "435-986-2565",
            "fax_number": "435-986-2577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBRIDE",
        "first_name": "SHAUNA",
        "middle_name": "L",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-17",
        "last_updated": "2014-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "58509011206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "352163112003",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE UGS",
            "identifier": "461819",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID PCN",
            "identifier": "352163112017",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE B",
            "identifier": "000057177",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas McArthur
• James McBee
• Laurie E McBride, LCSW
• Mindy Ann McBride, R.N.
• Natalie McBride, RD, CD
• Alix McCall
• Debra McCall
• Jantzen McCann
• Julee Ann McCarty
• William Luke McCausland, PT

• All providers in St George, UT
• Physician Assistant in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.