RACHELLE SHEPARD


Address: 144 Whitehurst Way, Columbia, SC 29229-8500
Phone: 8032906357

RACHELLE SHEPARD (NPI# 1164995346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164995346
Entity Type Individual
Full Name RACHELLE SHEPARD
Credential APRN, AGNP
Practice Address 144 Whitehurst Way
Columbia
SC 29229-8500
Practice Telephone 8032906357
Mailing Telephone 8032906357
Enumeration Date 2019-01-10
Last Update Date 2020-09-28
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QA0505X Family Medicine
Specialization: Adult Medicine
22445 SC Allopathic & Osteopathic Physicians
N 207QG0300X Family Medicine
Specialization: Geriatric Medicine
22445 SC Allopathic & Osteopathic Physicians

Office Location

Street Address 144 WHITEHURST WAY
City COLUMBIA
State SC
Zip Code 29229-8500

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Taxonomy Information

Taxonomy Code 207QA0505X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Adult Medicine

Taxonomy Definition

Definition to come.

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1275520629 Tamera D Crowe Family Medicine 1520 Laurel St, Columbia, SC 29201-2623 2005-09-30
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1902819345 Karen Craig Walpole Family Medicine 6439 Garners Ferry Rd, Columbia, SC 29209-1638 2006-08-15
1790795649 Nirav R. Pathak Family Medicine 14 Richland Medical Park Dr Ste 320, Columbia, SC 29203-6896 2006-08-09

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1669027595 Ketamine Treatment Services Family Medicine 3015 Dunes West Blvd Ste 510, Mount Pleasant, SC 29466-8252 2019-08-07
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1891035416 Donald F Wade Family Medicine 1728 Vassar Dr, Charleston, SC 29407-4236 2013-02-19
1770880486 James Stuart Mcdaniel Family Medicine 1140 Pilot Boy, Wadmalaw Island, SC 29487-6993 2011-02-15
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Competitor

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City COLUMBIA
Zip Code 29229

Improve Information

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Dataset Information

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.

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