Active NPIIndividual provider

Shannon Keller, PA

Physician Assistant in West Harrison, New York

NPI Number1265209654
Practice location
500 Westchester Ave, West Harrison, NY 10604-3200
Fax
—
Last updated
November 11, 2026

Shannon Keller is a Physician Assistant based in West Harrison, NY. Shannon Keller practices in West Harrison, NY and has the professional credentials of PA. The NPI Number for Shannon Keller is 1265209654 and holds a License No. 031668 (NY). The current practice location address for Shannon Keller is 500 Westchester Ave, West Harrison, NY 10604-3200 and can be reached out via phone at 999-999-9999.

Provider Profile Details

NPI Number
1265209654
Provider Name
Shannon Keller
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
500 Westchester Ave, West Harrison, NY 10604-3200
Phone Number
999-999-9999
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
December 6, 2023
Last Update Date
November 11, 2026
Certification Date
November 11, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
500 Westchester Ave
West Harrison, NY 10604-3200
Zip
10604-3200
Phone Number
999-999-9999
West Harrison, NY 10604Get directions →

Provider Business Mailing Address Details

Address
500 Westchester Ave
West Harrison, NY 10604-3200
City
West Harrison
State
NY
Zip
10604-3200

License Information

License Number (1)
031668
License State (1)
NY
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
PA18933
License State (2)
TX
Taxonomy (2)
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Shannon Keller, PA?

The NPI number of Shannon Keller, PA is 1265209654. It was assigned on December 6, 2023 and is currently active in the NPPES registry.

What is the specialty of Shannon Keller, PA?

Shannon Keller, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NY under license number 031668.

Where does Shannon Keller, PA practice?

The practice location is 500 Westchester Ave, West Harrison, NY 10604-3200. The office can be reached at 999-999-9999 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1265209654 directly on the NPPES registry website.

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