SHANE WAKEFIELD
NPI 1487345823
Physician Assistant in Sparks, NV

NPI Status: Active since May 17, 2023

Contact Information

2375 E PRATER WAY
SPARKS, NV
ZIP 89434
Phone: (775) 331-7000

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  • Individual
  • Male
  • Physician Assistant

About SHANE WAKEFIELD

This page provides the complete NPI Profile along with additional information for Shane Wakefield, a primary care provider established in Sparks, Nevada with a medical specialization in Physician Assistant. The healthcare provider is registered in the NPI registry with number 1487345823 assigned on May 2023. The practitioner's primary taxonomy code is 363A00000X with license number PA3190 (NV). The provider is registered as an individual and his NPI record was last updated June 2025.

NPI
1487345823
Provider Name
SHANE WAKEFIELD
Gender
Male
Entity Type
Individual
Location Address
2375 E PRATER WAY SPARKS, NV 89434
Location Phone
(775) 331-7000
Mailing Address
2375 E PRATER WAY SPARKS, NV 89434
Mailing Phone
(775) 331-7000
Is Sole Proprietor?
Yes
Enumeration Date
05-17-2023
Last Update Date
06-24-2025
Code Navigator

A primary care provider (PCP) like Shane Wakefield sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant

Taxonomy Code
363A00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
PA3190
License State
NV
Taxonomy Description
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, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

 
2363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

PA65106 (CA)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1487345823
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24167641084
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 6 + 7 + 6 + 4 + 1 + 0 + 8 + 4 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1487345823 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1184693319 LISA AKERS-HUDSON MD
Individual
Emergency Medicine2375 E PRATER WAY
SPARKS, NV 89434
(775) 331-7000
1558320705 GINA R DAPRA MD
Individual
Emergency Medicine2375 E PRATER WAY
SPARKS, NV 89434
(775) 331-7000
1528027752 JERRY CALVANESE MD
Individual
Emergency Medicine (Emergency Medical Services)2375 E PRATER WAY
SPARKS, NV 89434
(775) 331-7000
1962461814 STEVEN CHRISTENSON MD
Individual
Emergency Medicine (Emergency Medical Services)2375 E PRATER WAY
SPARKS, NV 89434
(775) 982-4100
1619936457 LISA NELSON DO
Individual
Emergency Medicine2375 E PRATER WAY
SPARKS, NV 89434
(775) 331-7000
1013976901 WILLIAM DAVIS MD
Individual
Emergency Medicine2375 E PRATER WAY
SPARKS, NV 89434
(775) 331-7000
1205895984 KENT MOORE MD
Individual
Emergency Medicine (Emergency Medical Services)2375 E PRATER WAY
SPARKS, NV 89434
(775) 331-7000
1841259686 LELAND SULLIVAN MD
Individual
Emergency Medicine2375 E PRATER WAY
SPARKS, NV 89434
(775) 331-7000
1275593436 STEPHAN MUSSEHL DO
Individual
Emergency Medicine2375 E PRATER WAY
SPARKS, NV 89434
(775) 331-7000
1013113158NIKOS INPATIENT SERVICES
Organization
Internal Medicine2375 E PRATER WAY
SPARKS, NV 89434
(775) 352-5301
1942463492 LINDA SMOOT RPH
Individual
Pharmacist2375 E PRATER WAY
SPARKS, NV 89434
(775) 356-4070
1093132045 AMANDA MUELLER DPT
Individual
Physical Therapist2375 E PRATER WAY SUITE 301
SPARKS, NV 89434
(775) 356-4960
1528134319DR. RICHARD ALLEN EDMISTON M.D.
Individual
Radiology (Diagnostic Radiology)2375 E PRATER WAY
SPARKS, NV 89434
(775) 356-4900
1568862266SPARS FAMILY HOSPITAL INC
Organization
Psychologist2375 E PRATER WAY
SPARKS, NV 89434
(775) 331-7000
1740579366 ERIN MARIE SIMMERS-PEARSON MD
Individual
Emergency Medicine2375 E PRATER WAY
SPARKS, NV 89434
(775) 356-4040
1144728742MRS. ASHLEY RAE DAIGLE RD, LD
Individual
Dietitian, Registered2375 E PRATER WAY
SPARKS, NV 89434
(303) 995-6317
1457797250 KATRIN SARAH LAMPRECHT MD
Individual
Emergency Medicine2375 E PRATER WAY
SPARKS, NV 89434
(775) 830-6192
1558901520BOVRICK INTEGRATED HEALTH
Organization
Nurse Practitioner (Psychiatric/Mental Health)2375 E PRATER WAY
SPARKS, NV 89434
(775) 331-7000
1346862513 AMANDA CHRISTINE NASS RD
Individual
Dietitian, Registered2375 E PRATER WAY
SPARKS, NV 89434
(775) 277-6680
1851824528 HEINRICH DAVID FAN MD
Individual
Emergency Medicine2375 E PRATER WAY
SPARKS, NV 89434
(775) 331-7000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487345823, enumerated in the NPI registry as an "individual" on May 17, 2023

The provider is located at 2375 E Prater Way Sparks, Nv 89434 and the phone number is (775) 331-7000

The provider's speciality is Physician Assistant with taxonomy code 363A00000X

This NPI record was last updated on May 17, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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