Active NPI
Samira Abhijit Shende, PA-C
- Physician Assistant
- Gastonia, NC
National Provider Identifier
1609786714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-16876
- Practice address
- 1530 Union Rd Ste a
Gastonia, NC 28054-2201 - Phone
- (704) 867-6188
- Fax
- (704) 866-4437
- NPI assigned
- Sep 10, 2026
- 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 | 0010-16876 | NC | Primary |
Addresses
Primary practice location
1530 Union Rd Ste a
Gastonia, NC 28054-2201
Mailing address
1530 Union Rd Ste a
Gastonia, NC 28054-2201
Phone (704) 867-6188
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788998400000",
"number": "1609786714",
"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": "SHENDE",
"first_name": "SAMIRA",
"middle_name": "ABHIJIT",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-10",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-16876",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gastonia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.