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

Shivana Tate, PA

Individual provider Physician Assistant · NPI 1487122206

Shivana Tate, PA is a Physician Assistant in Boerne, Texas. Qualified in 2018, 8 years ago. Practices with Conviva Medical Center Management of Texas, PA, a 148-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
8
Licensed in
CA
In the registry since
2018
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

136 Old San Antonio Rd Ste 406
Boerne, TX 78006-3341
Phone: (830) 331-4270
Fax: (830) 331-4218
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 56539 (CA)

Record details

NPI number1487122206
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedNovember 9, 2018
Last updated in NPPESMay 18, 2020
Certification dateMay 18, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Conviva Medical Center Management Of Texas, P.A. — 148 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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