Individual provider Active NPI

Deborah Louise Sheffield, LSA

  • Surgical Physician Assistant
  • Austin, TX
National Provider Identifier
1861812273
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
SA00787 Issued in TX
Practice address
14745 Merriltown Rd Apt 5815
Austin, TX 78728-5768
Phone
(512) 689-6182
NPI assigned
Apr 24, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X
Surgical Physician Assistant 363AS0400X SA00787 TX Primary

Addresses

Primary practice location

14745 Merriltown Rd Apt 5815
Austin, TX 78728-5768

Mailing address

14745 Merriltown Rd Apt 5815
Austin, TX 78728-5768
Phone (512) 689-6182

Other identifiers 1

IdentifierTypeStateIssuer
SA00787OtherTXLICENSED SURGICAL ASSISTANT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SA00787TXMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Atx Surgical Assistants, LLC Surgical CurrentSince Mar 1, 2020 Accepting new patients
Austin Surgical Assistants, Inc. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1398297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1861812273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14745 MERRILTOWN RD APT 5815",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787285768",
            "telephone_number": "512-689-6182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14745 MERRILTOWN RD APT 5815",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787285768",
            "telephone_number": "512-689-6182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEFFIELD",
        "first_name": "DEBORAH",
        "middle_name": "LOUISE",
        "credential": "LSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-24",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "SA00787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED SURGICAL ASSISTANT",
            "identifier": "SA00787",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; 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.