Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kathryn Sara Shanahan, PA-C

Individual provider Medical Physician Assistant · NPI 1336549211

Kathryn Sara Shanahan, PA-C is a Physician Assistant in Omaha, Nebraska. Qualified in 2014, 12 years ago. Practices with Hydr8 LLC, a 19-clinician group and accepts Medicare assignment. Licensed in Nebraska.

Years since qualifying
12
Licensed in
NE
In the registry since
2014
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

727 N 120th St
Omaha, NE 68154-4212
Phone: (402) 493-2100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 1828 (NE)

Record details

NPI number1336549211
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 28, 2014
Last updated in NPPESAugust 28, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Hydr8 Llc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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