Individual provider · Type 1 NPI
Shelly Rae Shadrick, PAC
Physician Assistant · Longmont, CO
Practice location
1760 E Ken Pratt Blvd Ste 401
Longmont, CO 80504-5311
Fax (720) 718-0955
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant Primary | 363A00000X | 976 (CO) |
| Medical Physician Assistant | 363AM0700X | 001565 (IA) |
| Physician Assistant | 363A00000X | 001565 (IA) |
| Surgical Physician Assistant | 363AS0400X | 001565 (IA) |
Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…
5 other providers at this address
- Poudre Valley Medical Group, LLCCardiovascular Disease Physician Longmont, CO NPI 1912853755
- Daniel Richard Hanna, MDUrology Physician Longmont, CO NPI 1518593748
- Garrick McLeod Greear, MDUrology Physician Longmont, CO NPI 1164873816
- John Christopher Webster, MDUrology Physician Longmont, CO NPI 1881608768
- Loganne B. Wertz, PA-CPhysician Assistant Longmont, CO NPI 1497362438
Other physician assistant providers in Longmont
- Danielle Pohlit, PA-CPhysician Assistant Longmont, CO NPI 1003320870
- Camille GannonPhysician Assistant Longmont, CO NPI 1003644428
- John P. Hundley, PA-CPhysician Assistant Longmont, CO NPI 1013087907
- Carter J. Smith, PA-CPhysician Assistant Longmont, CO NPI 1013887694
- Jason D. Schmidthuber, PAPhysician Assistant Longmont, CO NPI 1013981398
- Page Marie Sherrill, PAPhysician Assistant Longmont, CO NPI 1043009194
- Susan Graham, PAPhysician Assistant Longmont, CO NPI 1043307192
- Miranda E. PrejeanPhysician Assistant Longmont, CO NPI 1043552607
About NPI 1215919907
Shelly Rae Shadrick, PAC's National Provider Identifier is 1215919907, issued on Nov 17, 2005. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Longmont, CO. The record was last updated on Aug 18, 2026.