Active NPI
Shayron Saunders, PA
- Physician Assistant
- Woonsocket, RI
National Provider Identifier
1972745248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA00069
- Practice address
- 68 Cumberland Street
Suite 103
Woonsocket, RI 02895 - Phone
- (401) 762-3838
- Fax
- (401) 762-8252
- NPI assigned
- Apr 1, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA00069 | RI | Primary |
Addresses
Primary practice location
68 Cumberland Street
Suite 103
Woonsocket, RI 02895
Mailing address
68 Cumberland Street
Suite 103
Woonsocket, RI 02895
Phone (401) 762-3838
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
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA00069 | RI | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238544000000",
"number": "1972745248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "68 CUMBERLAND STREET",
"address_2": "SUITE 103",
"city": "WOONSOCKET",
"state": "RI",
"postal_code": "02895",
"telephone_number": "401-762-3838",
"fax_number": "401-762-8252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "68 CUMBERLAND STREET",
"address_2": "SUITE 103",
"city": "WOONSOCKET",
"state": "RI",
"postal_code": "02895",
"telephone_number": "401-762-3838",
"fax_number": "401-762-8252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAUNDERS",
"first_name": "SHAYRON",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-01",
"last_updated": "2009-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "RI",
"license": "PA00069",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woonsocket, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.