DUSTIN SHEPHERD (NPI# 1528568532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528568532 |
| Entity Type | Individual |
| Full Name | DUSTIN SHEPHERD |
| Practice Address |
14574 Us Highway 23 Waverly OH 45690-9373 |
| Mailing Address |
5507 Beaver Pike Beaver OH 45613-9701 |
| Practice Telephone | 7409129126 |
| Enumeration Date | 2018-02-16 |
| Last Update Date | 2018-02-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
141595 | OH | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851698955 | Dustin R Shepherd | Pharmacist | 131 Racine Dr Ste 100, Wilmington, NC 28403-8781 | 2011-02-25 |
| Street Address |
14574 US HIGHWAY 23 |
| City | WAVERLY |
| State | OH |
| Zip Code | 45690-9373 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154660868 | Jennifer L Simmons | Counselor | 14574 Us Highway 23, Waverly, OH 45690-9373 | 2013-02-01 |
| 1093312019 | James Taylor Dawkins | Counselor | 14574 Us Highway 23, Waverly, OH 45690-9373 | 2020-10-02 |
| 1134740863 | Phillip Summers | Counselor | 14574 Us Highway 23, Waverly, OH 45690-9373 | 2020-05-05 |
| 1306471222 | Luke Mcglone | Counselor | 14574 Us Highway 23, Waverly, OH 45690-9373 | 2020-03-11 |
| 1467087387 | Daniel Ramey | Counselor | 14574 Us Highway 23, Waverly, OH 45690-9373 | 2020-03-11 |
| 1861023319 | William Joseph Kelley | Peer Specialist | 14574 Us Highway 23, Waverly, OH 45690-9373 | 2020-02-03 |
| 1174172209 | Okey E Richards Jr. | Counselor | 14574 Us Highway 23, Waverly, OH 45690-9373 | 2019-09-11 |
| 1043867336 | Charlotte Ann Keplinger | Licensed Practical Nurse | 14574 Us Highway 23, Waverly, OH 45690-9373 | 2019-08-21 |
| 1285289173 | Andrew Alan Saxby | Counselor | 14574 Us Highway 23, Waverly, OH 45690-9373 | 2019-08-07 |
| 1538714605 | Robert Lawson | Counselor | 14574 Us Highway 23, Waverly, OH 45690-9373 | 2019-08-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538767181 | Brandie Mustard | Homemaker | 3018 My Tabor Rd, Waverly, OH 45690 | 2020-10-15 |
| 1225661168 | Kyle Colley | Counselor | 14574 Us Hughway 23, Waverly, OH 45690 | 2020-02-19 |
| 1366082513 | Ryan Rawlins | Counselor | 14574 St. Rt. 23, Waverly, OH 45690 | 2020-01-15 |
| 1700424140 | Jaime Wooldridge | Counselor | 14532 St. Rt. 23, Waverly, OH 45690 | 2019-12-17 |
| 1518513415 | Jacquelyn Irene Sprouse | Counselor | 217 Emmitt Ave, Waverly, OH 45690 | 2019-08-15 |
| 1639634850 | Krista K Leeth | Counselor | 14532 Us Hwy 23, 14534 Us Hwy 23, Waverly, OH 45690 | 2019-02-01 |
| 1881196244 | Kevin Michael Reichert | Counselor | Pike County Recovery Council, 218 East North Street, Waverly, OH 45690 | 2018-03-01 |
| 1619483179 | Ticia Lewis | Counselor | 14532 State Route 23, Waverly, OH 45690 | 2017-12-20 |
| 1205342136 | Criston B Evans | Licensed Practical Nurse | 14532 Us Highway 23, Waverly, OH 45690 | 2017-12-14 |
| 1447763313 | Jody Ryan Colley | Counselor | 14572 St. Rt. 23, Waverly, OH 45690 | 2017-11-14 |
| Find all providers in zip 45690 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225661168 | Kyle Colley | Counselor | 14574 Us Hughway 23, Waverly, OH 45690 | 2020-02-19 |
| 1366082513 | Ryan Rawlins | Counselor | 14574 St. Rt. 23, Waverly, OH 45690 | 2020-01-15 |
| 1700424140 | Jaime Wooldridge | Counselor | 14532 St. Rt. 23, Waverly, OH 45690 | 2019-12-17 |
| 1518513415 | Jacquelyn Irene Sprouse | Counselor | 217 Emmitt Ave, Waverly, OH 45690 | 2019-08-15 |
| 1639634850 | Krista K Leeth | Counselor | 14532 Us Hwy 23, 14534 Us Hwy 23, Waverly, OH 45690 | 2019-02-01 |
| 1922572353 | Kristin Patricia Wilson | Counselor | 196c E Emmitt Ave, Waverly, OH 45690-1334 | 2019-01-18 |
| 1821587718 | Cathy Cummings | Counselor | 14416 Us Highway 23, Waverly, OH 45690-9337 | 2018-05-07 |
| 1821587973 | Jonathan Leatherwood | Counselor | 14572 Us Highway 23 Ste E, Waverly, OH 45690-9448 | 2018-05-04 |
| 1881196244 | Kevin Michael Reichert | Counselor | Pike County Recovery Council, 218 East North Street, Waverly, OH 45690 | 2018-03-01 |
| 1164922548 | Brenda Jones | Counselor | 14572 Us Highway 23 Ste F, Waverly, OH 45690-9454 | 2018-02-13 |
| Find all providers in WAVERLY | ||||
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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.