Shanise Thomas
Shanise Thomas is a Physician Assistant provider (Physician Assistant) practicing in Ithaca, NY, registered in the NPPES registry with NPI 1023647013 since 2020.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1023647013 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Shanise Thomas |
| Sex | Female |
| Practice address | 16 BRENTWOOD DR STE A, Ithaca, NY, 14850 |
| Phone | 6072727000 |
| Enumeration date | 2020-04-02 |
| Last updated in NPPES | 2020-11-11 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | Secondary | — | — |
| 363A00000X | Physician Assistant | Primary | 025928 | NY |
Copy-ready billing details
Provider: Shanise Thomas NPI: 1023647013 Taxonomy: 363A00000X (Physician Assistant) Address: 16 BRENTWOOD DR STE A, Ithaca, NY, 14850
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1396078648 | Sarah Robinson | Individual | Physician Assistant | Ithaca, NY |
| 1609194133 | Michael Waters | Individual | Orthopaedic Hand Surgery Physician | Ithaca, NY |
| 1063014413 | Bryan Gibb | Individual | Physician Assistant | Ithaca, NY |
| 1326628546 | Victoria Shevchuk | Individual | Physician Assistant | Ithaca, NY |
| 1720785041 | Madeline Bush | Individual | Physician Assistant | Ithaca, NY |
Verify this record
Cross-check NPI 1023647013 against the authoritative CMS record: view Shanise Thomas on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Is NPI 1023647013 active?
How do I verify Shanise Thomas's NPI record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-11-11.