NICHOLAS SHEPARD (NPI# 1396099321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396099321 |
| Entity Type | Individual |
| Full Name | NICHOLAS SHEPARD |
| Practice Address |
12440 Firestone Blvd Norwalk CA 90650-4328 |
| Practice Telephone | 5629296688 |
| Mailing Telephone | 5629296688 |
| Enumeration Date | 2012-10-29 |
| Last Update Date | 2018-03-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care | ||
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134506405 | Nicholas Alan Shepard | Orthopaedic Surgery | 1611 W Harrison St, Chicago, IL 60612-4861 | 2015-05-06 |
| Street Address |
12440 FIRESTONE BLVD |
| City | NORWALK |
| State | CA |
| Zip Code | 90650-4328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063465557 | A & T Healthcare Services, Inc. | Home Health | 12440 Firestone Blvd, Ste 240, Norwalk, CA 90650-4328 | 2006-05-18 |
| 1811598824 | Alicia Gutierrez | Case Manager/Care Coordinator | 12440 Firestone Blvd, Norwalk, CA 90650-4328 | 2020-11-05 |
| 1477168649 | Juan Santillan | Student in an Organized Health Care Education/Training Program | 12440 Firestone Blvd, Norwalk, CA 90650-4328 | 2020-09-14 |
| 1356959928 | Kourtney Benson | Case Manager/Care Coordinator | 12440 Firestone Blvd, Norwalk, CA 90650-4328 | 2020-07-20 |
| 1114542180 | Katelyn Hazel Avila | Case Manager/Care Coordinator | 12440 Firestone Blvd, Norwalk, CA 90650-4328 | 2020-06-15 |
| 1205463122 | Violet Gonzalez | Case Manager/Care Coordinator | 12440 Firestone Blvd, Norwalk, CA 90650-4328 | 2020-03-23 |
| 1972136778 | Dennisse Rosas | Case Manager/Care Coordinator | 12440 Firestone Blvd, Norwalk, CA 90650-4328 | 2020-02-20 |
| 1295386837 | Jason Marc Dubois | Case Manager/Care Coordinator | 12440 Firestone Blvd, Norwalk, CA 90650-4328 | 2019-09-25 |
| 1417509878 | Brandon J Grant | Nurse Practitioner | 12440 Firestone Blvd, Norwalk, CA 90650-4328 | 2019-07-15 |
| 1588138689 | Elizama Sigala | Case Manager/Care Coordinator | 12440 Firestone Blvd, Norwalk, CA 90650-4328 | 2019-01-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003420316 | Ricky Chavez | Occupational Therapist | 13603 Halcourt Avenue, Norwalk, CA 90650 | 2020-09-03 |
| 1326671652 | Ryan Ly | Psychologist | 11400 Bloomfield Blvd, Norwalk, CA 90650 | 2020-02-14 |
| 1710416177 | Ricky O Lee | Pharmacist | 11401 S. Bloomfield Ave, Norwalk, CA 90650 | 2017-06-08 |
| 1689108847 | Eliana Segura | Student in an Organized Health Care Education/Training Program | 12440 Firestone Ave Blvd., 3020, Norwalk, CA 90650 | 2017-04-14 |
| 1396282752 | Martin Sanchez Torres | Specialist/Technologist, Other | 14003 Summer Ave, Norwalk, CA 90650 | 2017-01-24 |
| 1952859837 | Fatimah Busran | Social Worker | 11401 South Bloomfield Avde., Norwalk, CA 90650 | 2016-09-20 |
| 1760939383 | Andy Chang | Licensed Psychiatric Technician | 12440 East Imperial Highway, Suite 116, Norwalk, CA 90650 | 2016-09-01 |
| 1548634322 | Leslie Yesenia Lazo | Student in an Organized Health Care Education/Training Program | 12440 E. Firestone Blvd, Norwalk, CA 90650 | 2015-11-17 |
| 1306247994 | Ruth Vergara | Student in an Organized Health Care Education/Training Program | 21520 S. Pioneer Blvd., Suite 110, Hawaiian Gardens, CA 90650 | 2014-09-15 |
| 1265854251 | Sungmin Yee | Acupuncturist | 12706 Bloomfield Ave, Apt. 135, Norwalk, CA 90650 | 2014-01-10 |
| Find all providers in zip 90650 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851917561 | Ryan Halloran | Student in an Organized Health Care Education/Training Program | 8 Apple St, Norwalk, CT 06851-4104 | 2020-06-18 |
| 1174188379 | Lynsey Michelle Schraeder | Student in an Organized Health Care Education/Training Program | 52 Wolfpit Ave Apt 1a, Norwalk, CT 06851-4206 | 2019-05-03 |
| 1962986844 | Thu M Hoang | Student in an Organized Health Care Education/Training Program | 12440 Firestone Blvd Ste 3010, Norwalk, CA 90650-4328 | 2018-09-18 |
| 1588182596 | Graham Martin | Student in an Organized Health Care Education/Training Program | 12440 E. Firestone Ave, Suite 3020, Norwalk, CA 90065-9331 | 2017-08-30 |
| 1689108847 | Eliana Segura | Student in an Organized Health Care Education/Training Program | 12440 Firestone Ave Blvd., 3020, Norwalk, CA 90650 | 2017-04-14 |
| 1144763434 | Cynthia Eliezer | Student in an Organized Health Care Education/Training Program | 120 East Ave 2nd Flr., Norwalk, CT 06851 | 2016-11-18 |
| 1861843559 | Valerie Andree Vincent | Student in an Organized Health Care Education/Training Program | 120 East Avenue-2nd Floor, Catholic Charities, Norwalk, CT 06851 | 2016-06-24 |
| 1548634322 | Leslie Yesenia Lazo | Student in an Organized Health Care Education/Training Program | 12440 E. Firestone Blvd, Norwalk, CA 90650 | 2015-11-17 |
| 1588033799 | Aida Pelayo | Student in an Organized Health Care Education/Training Program | 12415 Imperial Hwy, Unit 49, Norwalk, CA 90650-3100 | 2015-09-17 |
| 1508249335 | Jaime Leahy | Student in an Organized Health Care Education/Training Program | 34 Maple Stree, Norwalk, CT 06856 | 2015-06-29 |
| Find all providers in NORWALK | ||||
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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.