MS. SHAYNA FASANELLA
NPI 1407349384
Physician Assistant - Surgical in Palm Beach Gardens, FL

Active since June 14, 2018
5540 PGA BLVD STE 200, PALM BEACH GARDENS, FL 33418(561) 571-4000(561) 491-2271 Get Directions Write a Review

NPPES record last updated: January 28, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 28, 2020, Jan 24, 2020, Jul 19, 2018 and 1 more (4 updates tracked since 2018).

About Ms. Shayna Fasanella NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. SHAYNA FASANELLA (NPI 1407349384) is an individual surgical provider in Palm Beach Gardens, Florida, licensed in Florida (PA9112616) and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1407349384
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMS. SHAYNA FASANELLA
Location Address5540 PGA BLVD STE 200Palm Beach Gardens, FL 33418-3987
Mailing Address5540 Pga Blvd Ste 200Palm Beach Gardens, FL 33418-3987 · (561) 571-4000 · Fax (561) 491-2271
Fax(561) 491-2271
Sole ProprietorNo
Enumeration DateJune 14, 2018
Last NPPES UpdateJanuary 28, 20204 updates tracked since enumeration
NPI 1407349384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in FL · PA9112616
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 5601008742 (MI)
5540 PGA BLVD STE 200, Palm Beach Gardens, FL 33418

Other Names 1

Other Name (5)Shayna Fasanella Pa-c

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
5540 PGA BLVD STE 200
PALM BEACH GARDENS, FL 33418
Physician Assistant (Surgical)
5540 PGA BLVD STE 200
PALM BEACH GARDENS, FL 33418
Surgery (Plastic and Reconstructive Surgery)
5540 PGA BLVD STE 200
PALM BEACH GARDENS, FL 33418
Physician Assistant (Surgical)
5540 PGA BLVD STE 200
PALM BEACH GARDENS, FL 33418
Physician Assistant
5540 PGA BLVD STE 200
PALM BEACH GARDENS, FL 33418

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shayna Fasanella's NPI number?

The NPI number for Shayna Fasanella is 1407349384. It was assigned to this individual provider in the NPPES registry on June 14, 2018. The provider is also known as Shayna Fasanella Pa-C.

Where is Shayna Fasanella located?

Shayna Fasanella practices at 5540 Pga Blvd Ste 200, Palm Beach Gardens, FL 33418. The listed phone number is (561) 571-4000.

What is Shayna Fasanella's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Shayna Fasanella was last updated on January 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.