KIRT ANTHONY SHEPARD (NPI# 1215393780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215393780 |
| Entity Type | Individual |
| Full Name | KIRT ANTHONY SHEPARD |
| Practice Address |
1106 S 20th St Apt 321 A South Bend IN 46615-1668 |
| Practice Telephone | 5747038762 |
| Mailing Telephone | 5747038762 |
| Enumeration Date | 2016-01-13 |
| Last Update Date | 2016-01-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
1106 S 20TH ST APT 321 A |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46615-1668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679954804 | Healthlinc, Inc. | Clinic/Center | 1002 S Esther St, South Bend, IN 46615 | 2015-06-12 |
| 1861897688 | Michelle Jean Streb | Registered Nurse | 1960 Northside Boulevard, South Bend, IN 46615 | 2014-10-23 |
| 1275848962 | Charles Mikel Craig | Optometrist | 220 N. Ironwood Dr., South Bend, IN 46615 | 2010-08-18 |
| 1710219613 | Debra Vasquez | Occupational Therapy Assistant | 1950 Ridgedaleroad, South Bend, IN 46615 | 2010-02-03 |
| 1114259132 | Christopher Joseph Smith | Physical Therapist | 1005 Hickory Rd, South Bend, IN 46615 | 2010-02-01 |
| 1295064525 | Starlight Care Facilities, Inc | Skilled Nursing Facility | 915 So. 27th Street, South Bend, IN 46615 | 2009-12-16 |
| 1699002642 | Ann G Pryor | Contractor | 1516 E. Wayne St., South Bend, IN 46615 | 2009-11-12 |
| 1891917449 | Logan Community Resources, Inc. | Community/Behavioral Health | 2505 E. Jefferson Blvd, South Bend, IN 46615 | 2007-05-03 |
| 1487712683 | Julie Gaydos Plagens | Dentist | 604 South Eddy St, South Bend, IN 46615 | 2006-12-04 |
| 1629163084 | Edward F Klodzinski | Counselor | 3603 E. Jefferson Blvd., South Bend, IN 46615 | 2006-10-03 |
| Find all providers in zip 46615 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053864058 | Regina Reevesscaife | Technician, Other | 1611 S Vernon St, South Bend, IN 46613-3214 | 2016-07-27 |
| 1619364312 | Latoya Janae Swanson | Technician, Other | 52718 E Cypress Cir, South Bend, IN 46637-4607 | 2015-04-20 |
| 1144427329 | Shannon Jackson | Technician, Other | 1950 Ridgedale Rd, South Bend, IN 46614-2243 | 2007-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083103485 | Lice Clinics of America- Northwest Indiana | Technician, Other | 1010 Breuckman Dr, Crown Point, IN 46307-7530 | 2018-05-02 |
| 1699127001 | Jaime Lynn Harvey | Technician, Other | 1653 Park Hurst Dr, Indianapolis, IN 46229-4130 | 2016-07-08 |
| 1447601265 | Dominique Simmons | Technician, Other | 5638 E 18th St, Indianapolis, IN 46218-5017 | 2016-06-22 |
| 1124474333 | Esther Kather | Technician, Other | 1216 Brook Run Dr, 3a, Mishawaka, IN 46544-9285 | 2016-05-05 |
| 1467818104 | Monica Fryska | Technician, Other | 15121 Clifden Dr, Granger, IN 46530-8205 | 2016-01-11 |
| 1639551344 | Sara Allyn Shrivastav | Technician, Other | 3711 E Southport Rd, Indianapolis, IN 46227 | 2015-06-18 |
| 1528454766 | Angelika Colpitts | Technician, Other | 7202 E 350 N, Rolling Prairie, IN 46371-9438 | 2015-04-14 |
| 1871991075 | Sarah Trueb | Technician, Other | 30 Professional Ct Ste 3, Lafayette, IN 47905-5129 | 2014-12-21 |
| 1932468261 | Lousey Nitpicking | Technician, Other | 62 Toronto St, La Porte, IN 46350-2573 | 2012-05-07 |
| 1871818674 | Secure Health Inc. | Technician, Other | 1729 Red Oak Runn, Fort Wayne, IN 46804-4041 | 2010-04-05 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH BEND |
| Zip Code | 46615 |
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| 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.