DR. LISA A SHEPHERD (NPI# 1063499184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063499184 |
| Entity Type | Individual |
| Full Name | DR. LISA A SHEPHERD |
| Credential | M.D. |
| Practice Address |
2015 W 5th St Storm Lake IA 50588-3000 |
| Mailing Address |
24 N 9th St Fort Dodge IA 50501-3905 |
| Practice Telephone | 7127325030 |
| Mailing Telephone | 5155746890 |
| Mailing Fax Number | 5155746458 |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2016-12-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 35941 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | WPS TRICARE | 42603840551041 | 01 |
| IA | PREFERRED ONE | 703361045139 | 01 |
| IA | BC/BS ER LOCATION | 00881 | 01 |
| IA | FIRST ADMINISTRATORS | 01644 | 01 |
| IA | SIOUX VALLEY HEALTH PLAN | 45838 | 01 |
| IA | DAKOTACARE | 9233000 | 01 |
| IA | WELLMARK BCBS CLINIC LOCA | 01644 | 01 |
| IA | 1469452 | 05 | |
| IN | 0469452 | 05 | |
| IA | CIGNA | 426038405 | 01 |
| IA | AVERA HEALTH PLAN | 4878 | 01 |
| IA | MEDICA | 0121965 | 01 |
| IA | UNITED HEALTH CARE | 0121965 | 01 |
| IA | MIDLANDS CHOICE | 246974 | 01 |
| IA | COVENTRY HEALTH CARE | I14710 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467960450 | Lisa Shepherd | Physical Therapist | Womack Army Medical Center 2817 Reilly Road, Fort Bragg, NC 28310-0001 | 2018-01-12 |
| 1730619974 | Lisa Ann Shepherd | Occupational Therapist | 240 Branchview Dr Ne, Concord, NC 28025 | 2017-06-19 |
| 1922112978 | Lisa L Shepherd | Nurse Practitioner | 117 W Main St, Camargo, IL 61919-3312 | 2006-08-18 |
| Street Address |
2015 W 5TH ST |
| City | STORM LAKE |
| State | IA |
| Zip Code | 50588-3000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679051262 | Kristin Kay Cedar | Nurse Practitioner | 2015 W 5th St, Storm Lake, IA 50588 | 2018-08-06 |
| 1821516568 | Trinity Regional Medical Center | Clinic/Center | 2015 W 5th St, Storm Lake, IA 50588-3000 | 2017-09-01 |
| 1780033639 | Elizabeth Joy Dupic | Family Medicine | 2015 W 5th St, Storm Lake, IA 50588-3000 | 2016-06-10 |
| 1609098649 | Jason A. Huisenga | Family Medicine | 2015 W 5th St, Storm Lake, IA 50588-3000 | 2007-05-02 |
| 1053383257 | Joan M Nilles | Family Medicine | 2015 W 5th St, Storm Lake, IA 50588-3000 | 2006-02-02 |
| 1740252063 | Timothy Daniels | Family Medicine | 2015 W 5th St, Storm Lake, IA 50588-3000 | 2006-02-02 |
| 1679544035 | Jonathan J Hruska | Family Medicine | 2015 W 5th St, Storm Lake, IA 50588-3000 | 2006-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093327173 | Joanne Alvorez | Social Worker | 728 Erie Street, Storm Lake, IA 50588 | 2020-08-19 |
| 1023481165 | Krauth Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | 1 Colonial Circle, Storm Lake, IA 50588 | 2015-11-12 |
| 1992129605 | Martin Health Services LLC | Pharmacy | 1229 Lake Ave, Storm Lake, IA 50588 | 2014-02-17 |
| 1487948824 | John Gary Armstrong | Surgery | 210 East 5th St, Storm Lake, IA 50588 | 2011-06-02 |
| 1235447871 | New Directions for Mental Health, LLC | Social Worker | 808 Michigan St., Suite A, Storm Lake, IA 50588 | 2010-09-16 |
| 1659555225 | Hy Vee Inc | Pharmacy | 606 Lake Avenue, Suite A, Storm Lake, IA 50588 | 2007-12-19 |
| 1134311616 | Madison County Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 1624 Lake Ave Ste 1, Storm Lake, IA 50588 | 2007-08-17 |
| 1356402754 | Rex Michael Shearer | Dentist | 217 West 6th, Storm Lake, IA 50588 | 2006-12-12 |
| 1639242209 | Gregory G Hansen | Dentist | 217 West 6th Street, Storm Lake, IA 50588 | 2006-11-15 |
| 1174536585 | Rick Alan Martin | Dentist | 720 Tornado Drive, Storm Lake, IA 50588 | 2006-08-15 |
| Find all providers in zip 50588 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336552306 | John Howard Pymm | Family Medicine | 620 Northwestern Dr # 1, Storm Lake, IA 50588-2935 | 2014-06-08 |
| 1851633713 | Kyle James Glienke | Family Medicine | Unitypoint Clinic-family Medicine-buena Vista, 620 Northwestern Dr, Storm Lake, IA 50588-2935 | 2013-03-19 |
| 1730156902 | Julie L. Vails | Family Medicine | 1322 Shoreway Rd, Storm Lake, IA 50588-3016 | 2006-03-07 |
| 1346217916 | Michael A Dehner | Family Medicine | 715 W Milwaukee Ave, Storm Lake, IA 50588-1564 | 2006-03-02 |
| 1851363196 | Mark S Schultz | Family Medicine | 1427 W Milwaukee Ave, Storm Lake, IA 50588-2905 | 2006-02-02 |
| 1780033639 | Elizabeth Joy Dupic | Family Medicine | 2015 W 5th St, Storm Lake, IA 50588-3000 | 2016-06-10 |
| 1659711349 | Garrett James Feddersen | Family Medicine | 1525 W 5th St, Storm Lake, IA 50588 | 2013-06-27 |
| 1265753669 | Natalie Kay Schaller | Family Medicine | 715 W Milwaukee Ave, Storm Lake, IA 50588-1564 | 2010-06-20 |
| 1609098649 | Jason A. Huisenga | Family Medicine | 2015 W 5th St, Storm Lake, IA 50588-3000 | 2007-05-02 |
| 1346358991 | Robert Lester Whitmore II | Family Medicine | 715 W Milwaukee Ave, Storm Lake, IA 50588-1564 | 2006-08-25 |
| Find all providers in STORM LAKE | ||||
| City | STORM LAKE |
| Zip Code | 50588 |
Please comment or provide details below to improve the information on DR. LISA A SHEPHERD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.