Active NPI
Shana M Holman, PA-C
- Medical Physician Assistant
- Las Vegas, NV
National Provider Identifier
1881745081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA1018
- Practice address
- 888 S Rancho Dr
Las Vegas, NV 89106-3810 - Phone
- (702) 877-5199
- NPI assigned
- Jan 15, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA1018 | NV | Primary |
| Medical Physician Assistant | 363AM0700X | PA662 | AL |
Addresses
Primary practice location
888 S Rancho Dr
Las Vegas, NV 89106-3810
Mailing address
PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 579-3203
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| V108405 | Other | NV | SMACC MEDICARE |
| PA1018 | Other | NV | NEVADA PA LICENSE |
| PA662 | Other | AL | STATE LICENSE |
| 650622859 | Other | AL | TAX ID |
| 116033 | Medicaid | AL | |
| 1881745081 | Other | NV | MEDICAID - SMA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
888 S Rancho Dr
Las Vegas, NV 89106-3810
Phone (702) 579-3253
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA662 | AL | MD | Medical Physician Assistant |
| PA1018 | NV | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rainbow Basin Emergency Physicians, a Medical Corporation | Past | Accepting new patients | |
| Premier Emergency Physicians of California Medical Group PC | Past | Accepting new patients | |
| Intercare Medical Group, Inc. | Past | Accepting new patients | |
| Spring Valley Medical Center | Past | Accepting new patients |
Interoperability endpoints
- sholman121013@westdirect.optum.com
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1790329407
-
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1659346005
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1346230323
-
- Family Medicine Physician
- Pleasanton, CA
- NPI 1972821494
-
- Emergency Medicine Physician
- Barstow, CA
- NPI 1225289135
-
- Emergency Medicine Physician
- Barstow, CA
- NPI 1811148729
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761177600000",
"number": "1881745081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 35380",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891335380",
"telephone_number": "702-579-3203",
"fax_number": "702-838-1456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "888 S RANCHO DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891063810",
"telephone_number": "702-877-5199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLMAN",
"first_name": "SHANA",
"middle_name": "M",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-15",
"last_updated": "2025-10-23",
"certification_date": "2025-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NV",
"license": "PA1018",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "AL",
"license": "PA662",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SMACC MEDICARE",
"identifier": "V108405",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEVADA PA LICENSE",
"identifier": "PA1018",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "PA662",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "650622859",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "116033",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID - SMA",
"identifier": "1881745081",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.