Active NPIIndividual provider

Shelby N Dahl, PA

Physician Assistant in Providence, Rhode Island

NPI Number1891632212
Practice location
825 Chalkstone Ave, Providence, RI 02908-4728
Fax
—
Last updated
October 28, 2026

Shelby Nicole Dahl is a Physician Assistant based in Providence, RI. Shelby Nicole Dahl practices in Providence, RI and has the professional credentials of PA. The NPI Number for Shelby Nicole Dahl is 1891632212 and holds a License No. PA01953 (RI). The current practice location address for Shelby Nicole Dahl is 825 Chalkstone Ave, Providence, RI 02908-4728 and can be reached out via phone at 401-456-2000.

Provider Profile Details

NPI Number
1891632212
Provider Name
Shelby Nicole Dahl
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
825 Chalkstone Ave, Providence, RI 02908-4728
Phone Number
401-456-2000
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Other Names
Shelby Yeomans, PA (Former Name)
Provider Enumeration Date
May 2, 2026
Last Update Date
October 28, 2026
Certification Date
October 28, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
825 Chalkstone Ave
Providence, RI 02908-4728
Zip
02908-4728
Phone Number
401-456-2000
Providence, RI 02908Get directions →

Provider Business Mailing Address Details

Address
825 Chalkstone Ave
Providence, RI 02908-4728
City
Providence
State
RI
Zip
02908-4728

License Information

License Number (1)
PA01953
License State (1)
RI
Taxonomy (1)
Physician Assistant · 363A00000X · Primary
License Number (2)
PA103070
License State (2)
MA
Taxonomy (2)
Physician Assistant · 363A00000X

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 Shelby N Dahl, PA?

The NPI number of Shelby N Dahl, PA is 1891632212. It was assigned on May 2, 2026 and is currently active in the NPPES registry.

What is the specialty of Shelby N Dahl, PA?

Shelby N Dahl, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in RI under license number PA01953.

Where does Shelby N Dahl, PA practice?

The practice location is 825 Chalkstone Ave, Providence, RI 02908-4728. The office can be reached at 401-456-2000 (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 1891632212 directly on the NPPES registry website.

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