Cynthia Jayne Shalby, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1500388 Issued in KS

Practice address

550 E Washington Blvd
Suite 100
Crescent City, CA 95531-8160

Phone

(707) 826-8633

NPI assigned

Jun 6, 2006

Last updated

Apr 10, 2017By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Ctca Physicans Group of Oklahoma, Inc

  • Specialist
  • Tulsa, OK
  • NPI 1053309591
  NPD (past)

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491782400000",
    "number": "1467491258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 E WASHINGTON BLVD",
            "address_2": "SUITE 100",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955318160",
            "telephone_number": "707-826-6633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 E WASHINGTON BLVD",
            "address_2": "SUITE 100",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955318160",
            "telephone_number": "707-826-8633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHALBY",
        "first_name": "CYNTHIA",
        "middle_name": "JAYNE",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2017-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "1500388",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OK",
            "license": "1646",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OKLAHOMA STATE BOARD OF M",
            "identifier": "1646",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KS STATE BOARD OF HEALING ARTS",
            "identifier": "15-00388",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyssa Schroeder, OTR/L
• Lora Kathleen Schultz, LCSW
• Monique Schwartz, D.O.
• Janet Lacey Schwertscharf, LCSW
• Sda Services of Ca (SDA Services of CA PC)
• Amanda Sharp
• Melany Nikol Shulman, LVN
• Aliva Silva
• Job Paul Silva
• Cheryl A Simons, MA MFT

• Physician Assistant in Crescent City, CA
• Providers in Crescent City, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.