Shawna M. Deeves M.D. P.L.L.C

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

SHAWNA M. DEEVES M.D. P.L.L.C

Practice address

4211 Gardendale St Ste 200a
San Antonio, TX 78229-3529

Phone

(210) 714-0066

Fax

(210) 888-1449

NPI assigned

Sep 28, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Shawna M Deeves, MD

Title

Owner

Phone

(210) 952-3368

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Miller, PA

  • Physician Assistant
  • Lubbock, TX
  • NPI 1942810445
  NPD
• Ana Diane Deeter, PA

  • Physician Assistant
  • Northbrook, IL
  • NPI 1407539414
  NPD (past)

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

{
    "created_epoch": "1601251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634083200000",
    "number": "1760099410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4211 GARDENDALE ST STE 200A",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293529",
            "telephone_number": "210-714-0066",
            "fax_number": "210-888-1449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 GARDENDALE ST STE 200A",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293529",
            "telephone_number": "210-714-0066",
            "fax_number": "210-888-1449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWNA M. DEEVES M.D. P.L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-28",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A",
        "authorized_official_last_name": "DEEVES",
        "authorized_official_first_name": "SHAWNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-952-3368",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharan B Shaw, O.T.
• Traci M Shaw, RN
• Xiomara Shaw, RN
• Xela Shawn
• Shawna M Deeves MD
• Ja'Net Marie Shawnee, LMTI, PTP
• Alanna Shay, PT, DPT
• Laura Aubree Shay, LMSW
• Michael Shay
• Sara Shayan, DMD

• Adult Mental Health Clinic/Center in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Adult Mental Health Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; 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.