Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Shannon M. Widderick, PA-C

Individual provider Physician Assistant · NPI 1942482914

Mrs. Shannon M. Widderick, PA-C is a Physician Assistant in Northampton, Massachusetts. Licensed in Connecticut and Massachusetts. Registered with an NPI since 2007.

Licensed in
CT, MA
In the registry since
2007
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

395 Pleasant St
Northampton, MA 01060-3914
Phone: (413) 584-7787
Fax: (413) 584-7778
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA2360 (MA)
Physician Assistant Taxonomy 363A00000X · Licence 001992 (CT)
Physician Assistant Taxonomy 363A00000X · Licence 2360 (MA)

Record details

NPI number1942482914
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 3, 2007
Last updated in NPPESJanuary 2, 2013

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