Diane Merril Shaktman, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

E6615 Issued in TX

Practice address

150 Settlement Dr Ste E
Bastrop, TX 78602-9662

Phone

(512) 303-3963

Fax

(512) 303-6366

NPI assigned

Jan 18, 2007

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699827527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 N GEORGETOWN ST",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786643289",
            "telephone_number": "512-255-1720",
            "fax_number": "512-244-8371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 SETTLEMENT DR STE E",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786029662",
            "telephone_number": "512-303-3963",
            "fax_number": "512-303-6366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAKTMAN",
        "first_name": "DIANE",
        "middle_name": "MERRIL",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "E6615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Leslie Schreiner, P.A.,C.
• Matthew Philip Schukar, O.D.
• Linda S. Seale, LPC
• Victor K Seghers, MD
• Serenity Hospice Atx, LLC
• Erin Shehu, M.S., CCC-SLP
• Sheri Hatt
• Jacqueline Nguyen Shimamoto, MD
• Laura Marie Sieber, MD
• Signature Smiles of Bastrop

• Psychiatry Physician in Bastrop, TX
• Providers in Bastrop, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.