Active NPI
Lynn Allen Shoemaker
- Medical Physician Assistant
- Santa Barbara, CA
National Provider Identifier
1932287885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA12368
- Practice address
- 1900 State St
Suite G
Santa Barbara, CA 93101-2429 - Phone
- (805) 617-7850
- Fax
- (805) 898-2002
- NPI assigned
- Nov 1, 2006
- Last updated
- Mar 7, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA12368 | CA | Primary |
Addresses
Primary practice location
1900 State St
Suite G
Santa Barbara, CA 93101-2429
Mailing address
1900 State St
Suite G
Santa Barbara, CA 93101-2429
Phone (805) 617-7850
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA12368 | Other | CA | PHYSICIAN 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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12368 | CA | MD | Optometrist |
| PA12368 | CA | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1932287885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 STATE ST",
"address_2": "SUITE G",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931012429",
"telephone_number": "805-617-7850",
"fax_number": "805-898-2002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 STATE ST",
"address_2": "SUITE G",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931012429",
"telephone_number": "805-617-7850",
"fax_number": "805-898-2002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHOEMAKER",
"first_name": "LYNN",
"middle_name": "ALLEN",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "PA12368",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIAN ASSISTANT",
"identifier": "PA12368",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Barbara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.