PAMELA SHEPHERD (NPI# 1356613988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356613988 |
| Entity Type | Individual |
| Full Name | PAMELA SHEPHERD |
| Credential | LCSW, CDCI |
| Practice Address |
3600 San Jeronimo Dr Anchorage AK 99508-2870 |
| Practice Telephone | 9077933641 |
| Practice Fax Number | 9077933250 |
| Mailing Telephone | 9077933641 |
| Mailing Fax Number | 9077933250 |
| Enumeration Date | 2012-01-27 |
| Last Update Date | 2019-11-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346563053 | Pamela Shepherd | Counselor | 5050 Williams Ave, Woodward, OK 73801-7713 | 2010-03-09 |
| 1346211125 | Pamela Andrew Shepherd | Registered Nurse | 250 North Ave, Athens, GA 30601-2244 | 2006-01-30 |
| Street Address |
3600 SAN JERONIMO DR |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508-2870 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730794785 | Heather Julia Lubinski | Case Manager/Care Coordinator | 3600 San Jeronimo Dr, Anchorage, AK 99508-2870 | 2020-09-15 |
| 1013543800 | Robert Lee Seay II | Peer Specialist | 3600 San Jeronimo Dr, Anchorage, AK 99508-2870 | 2020-03-12 |
| 1902443906 | Gregory Allen Lytle | Peer Specialist | 3600 San Jeronimo Dr, Anchorage, AK 99508-2870 | 2019-12-09 |
| 1932759156 | Adam Anthony Allard | Counselor | 3600 San Jeronimo Dr, Anchorage, AK 99508-2870 | 2019-09-19 |
| 1659938900 | Alicia Adair | Counselor | 3600 San Jeronimo Dr, Anchorage, AK 99508-2870 | 2019-05-22 |
| 1447816947 | Kristin Taylor-bond | Counselor | 3600 San Jeronimo Dr, Anchorage, AK 99508-2870 | 2019-05-10 |
| 1831754449 | Luteru Tisega Taliulu | Case Management | 3600 San Jeronimo Dr, Anchorage, AK 99508-2870 | 2019-05-08 |
| 1760047401 | Daniel Bernard Goguen | Counselor | 3600 San Jeronimo Dr, Anchorage, AK 99508-2870 | 2019-05-08 |
| 1497310320 | Nicole Michele Iezzi-blessing | Counselor | 3600 San Jeronimo Dr, Anchorage, AK 99508-2870 | 2019-05-06 |
| 1225693104 | Michael Leonard Sisson Jr. | Case Manager/Care Coordinator | 3600 San Jeronimo Dr, Anchorage, AK 99508-2870 | 2019-05-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063349 | Alexandra L Davis | Student in an Organized Health Care Education/Training Program | 1202 E 36th Ave, Anchorage, AK 99508 | 2020-05-01 |
| 1366087108 | The Salvation Army, A California Corporation | Community/Behavioral Health | 3600 East 20th Avenue, Anchorage, AK 99508 | 2019-11-15 |
| 1679120349 | Kila Gilcart | Speech-Language Pathologist | 161 Klevin Street #103, Anchorage, AK 99508 | 2019-08-19 |
| 1326692963 | Shannon Maillet | Behavior Technician | 1650 S Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1427602044 | Frank Harris Lawson Iv | Behavior Technician | 1650 S. Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1104470723 | Vivalesi Seforosa Nair | Behavior Technician | 1650 South Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1043864267 | The Cozy Chalet Assisted Living Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3707 Mt Blanc Circle, Anchorage, AK 99508 | 2019-07-25 |
| 1942861778 | Christine Mary Hoover | Registered Nurse | Alaska Native Medical Center - Inpatient Pediatrics, 4315 Diplomacy Dr, Anchorage, AK 99508 | 2019-06-24 |
| 1215594502 | Ashley Ongtowasruk | Case Manager/Care Coordinator | 4441 Dipomacy Dr, Suite 500, Anchorage, AK 99508 | 2019-05-22 |
| 1659937019 | Rayne Johnson | Behavior Technician | 4000 San Ernesto Blvd, Anchorage, AK 99508 | 2019-05-11 |
| Find all providers in zip 99508 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710157 | Ida Brothers | Counselor | 2705 W 67th Ave, Anchorage, AK 99502-2222 | 2020-11-04 |
| 1831799287 | Martina A Diamond | Counselor | 3616 Peterkin Ave, Anchorage, AK 99508-1131 | 2020-10-27 |
| 1598362972 | Annette F Wilson | Counselor | 5674 Alora Loop, Anchorage, AK 99504-1050 | 2020-10-08 |
| 1386241917 | Jerome Donald Velcheff | Counselor | 719 Edward St # B, Anchorage, AK 99504-1664 | 2020-10-06 |
| 1386241313 | Lori Ann Velcheff | Counselor | 6800 Howard Ave, Anchorage, AK 99504-1870 | 2020-10-02 |
| 1063019107 | Katherine Patricia Jerue | Counselor | 632 W 15th Ave, Anchorage, AK 99501-5006 | 2020-10-01 |
| 1518584267 | Janna Harvey | Counselor | 2804 W Northern Lights Blvd Ste 280, Anchorage, AK 99517-3300 | 2020-06-29 |
| 1013547306 | Samuel Peterson | Counselor | 4600 Debarr Rd, Anchorage, AK 99508-3103 | 2020-01-25 |
| 1750911335 | Brandi Lyn Ropati-hunte | Counselor | 3406 Seppala Dr Unit B3406, Anchorage, AK 99517-1143 | 2020-01-22 |
| 1538704986 | Ashley Locke | Counselor | 880 H St Ste 201, Anchorage, AK 99501-3450 | 2019-11-08 |
| Find all providers in ANCHORAGE | ||||
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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.