Provider Demographics
NPI:1063227171
Name:SPRINGFIELD, SHA'RODA LASHEA (PA-C)
Entity type:Individual
Prefix:
First Name:SHA'RODA
Middle Name:LASHEA
Last Name:SPRINGFIELD
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:SHA'RODA
Other - Middle Name:LASHEA
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:67 COMMENTRY DR
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72223-4595
Mailing Address - Country:US
Mailing Address - Phone:662-822-0611
Mailing Address - Fax:
Practice Address - Street 1:449 JACK STEPHENS DR
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205
Practice Address - Country:US
Practice Address - Phone:501-686-8211
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-07
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPA-1361363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant