SANDRA D. SHANABERGER P.A.-C.
NPI 1730284076
Physician Assistant - Medical in Louisville, KY

Active since September 13, 2006
1009A N DUPONT SQ, LOUISVILLE, KY 40207(502) 894-9950 Get Directions Write a Review

NPPES record last updated: February 6, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sandra D. Shanaberger P.a.-c. NPPES

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

SANDRA D. SHANABERGER P.A.-C. (NPI 1730284076) is an individual medical provider in Louisville, Kentucky, licensed in Kentucky (PA432) and active in the NPI registry since September 2006. She maintains a secondary practice location in Palm Harbor.

NPPES Registry Identity

NPI1730284076
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameSANDRA D. SHANABERGERCredential: P.A.-C.
Location Address1009A N DUPONT SQLouisville, KY 40207-4612
Mailing Address4011 Leland RdLouisville, KY 40207-2007 · (859) 699-9946 · Fax (502) 894-9991
Sole ProprietorNo
Enumeration DateSeptember 13, 2006
Last NPPES UpdateFebruary 6, 2020
NPI 1730284076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in KY · PA432
1009A N DUPONT SQ, Louisville, KY 40207

Secondary Practice Location 1

Location 133920 US 19 N, Suite 241Palm Harbor, FL 34684-2654 · Phone (727) 773-9793 · Fax (727) 773-0674

Other Identifiers 5

Other37903705KY · Medicaid Lab Group
Other970021516KY · Rr Medicare Pin
Medicaid95001640KY
OtherCB5773KY · Rr Medicare Group
Other4000501KY · Medicare Lab Group

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Primary Care)
1009A N DUPONT SQ
LOUISVILLE, KY 40207
Physician Assistant (Medical)
1009A N DUPONT SQ
LOUISVILLE, KY 40207
Pharmacy (Community/Retail Pharmacy)
1009A N DUPONT SQ, STE 203
LOUISVILLE, KY 40207
Pharmacy
1009A N DUPONT SQ
LOUISVILLE, KY 40207

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 Sandra Shanaberger's NPI number?

The NPI number for Sandra Shanaberger is 1730284076. It was assigned to this individual provider in the NPPES registry on September 13, 2006.

Where is Sandra Shanaberger located?

Sandra Shanaberger practices at 1009A N Dupont Sq, Louisville, KY 40207. The listed phone number is (502) 894-9950.

What is Sandra Shanaberger's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Sandra Shanaberger was last updated on February 6, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.