TIFFANY SANDRA SHEPERD (NPI# 1548788623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548788623 |
| Entity Type | Individual |
| Full Name | TIFFANY SANDRA SHEPERD |
| Credential | DNP, RN |
| Practice Address |
4600 W Schroeder Dr Brown Deer WI 53223-1469 |
| Mailing Address |
5334 Six Mile Rd Belgium WI 53004-9747 |
| Practice Telephone | 4148652500 |
| Enumeration Date | 2017-09-08 |
| Last Update Date | 2018-01-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
192836 | WI | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
8112 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4600 W SCHROEDER DR |
| City | BROWN DEER |
| State | WI |
| Zip Code | 53223-1469 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477651743 | Benjamin F Beaumont | Physician Assistant | 4600 W Schroeder Dr, Brown Deer, WI 53223-1469 | 2006-09-20 |
| 1497365720 | Samantha Ann Broghammer | Dietitian, Registered | 4600 W Schroeder Dr, Brown Deer, WI 53223-6458 | 2020-08-02 |
| 1669952552 | Carol Harewood | Physician Assistant | 4600 W Schroeder Dr, Brown Deer, WI 53223-1469 | 2018-08-20 |
| 1750874822 | Maisie Mae Floyd | Counselor | 4600 W Schroeder Dr, Brown Deer, WI 53223-1469 | 2018-06-12 |
| 1730684457 | Nathan Alexander Tratnik | Counselor | 4600 W Schroeder Dr, Brown Deer, WI 53223-1469 | 2018-03-26 |
| 1699089490 | Jessica Lynn Brumm-larson | Counselor | 4600 W Schroeder Dr, Brown Deer, WI 53223-1469 | 2010-08-04 |
| 1932411584 | Aman Mahajan | Psychiatry & Neurology | 4600 W Schroeder Dr, Rogers Memorial Hospital, Brown Deer, WI 53223-1469 | 2010-07-12 |
| 1922329325 | Tatjana Barisic-dujmovic | Psychiatry & Neurology | 4600 W Schroeder Dr, Brown Deer, WI 53223-1469 | 2010-06-20 |
| 1629395876 | Jennifer Fisher | Clinic/Center | 4600 W Schroeder Dr, Brown Deer, WI 53223-1469 | 2010-04-28 |
| 1972731479 | Syed Qhadeer Hussaini | Psychiatry & Neurology | 4600 W Schroeder Dr, Brown Deer, WI 53223-1469 | 2009-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235742206 | Jamie Brown | Home Health Aide | 8200 W. Clovernook Street, Milwaukee, WI 53223 | 2020-08-28 |
| 1730725656 | Lekecia Ferguson | Case Manager/Care Coordinator | 7970 W Glendbrook Rd, Milwaukee, WI 53223 | 2019-11-26 |
| 1457994717 | Talitha Cumi | Specialist | 6239 West Boehlke Avenue, Tiana M. Jenkins, Mlwaukee, WI 53223 | 2019-10-18 |
| 1235627498 | Letitia Dotson | Licensed Practical Nurse | 9395 N 49th St, Apt 201, Brown Deer, WI 53223 | 2018-04-24 |
| 1588176002 | Courtney Erin Tomaszewski | Occupational Therapy Assistant | 7300 W. Dean Rd, Milwaukee, WI 53223 | 2017-10-25 |
| 1972051373 | Sam's East, Inc. | Technician/Technologist | 8100 N 124th Street, Milwaukee, WI 53223 | 2016-09-14 |
| 1346671302 | Atlantic Home Health Care, Inc | Home Health | 5600 West Brown Deer Road, #216, Brown Deer, WI 53223 | 2013-12-02 |
| 1720415938 | Bell Therapy, Inc. | Community Based Residential Treatment Facility, Mental Illness | 7229-7231 W. Brentwood Ave., Milwaukee, WI 53223 | 2013-10-02 |
| 1528405701 | Ground Support Logistics LLC | Driver | 8200 W Browndeer Rd, Milwaukee, WI 53223 | 2013-05-29 |
| 1801136288 | Nicole M. Rintelman | Registered Nurse | 4600 W. Schroeder Drive, Rogers Memorial Hospital, Brown Deer, WI 53223 | 2013-02-22 |
| Find all providers in zip 53223 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003422726 | Wisconsin Healthcare Family Practices and Behavioral Services LLC | Nurse Practitioner | 10721 W Capitol Dr Ste G103, Wauwatosa, WI 53222-1210 | 2020-09-17 |
| 1689292856 | Julianne Margaret John | Nurse Practitioner | 3237 S 16th St Ste 310, Milwaukee, WI 53215-4526 | 2020-07-13 |
| 1356968002 | Marisa Hiley | Nurse Practitioner | W129 N7055 Northfield Drive, Menomonee Falls, WI 53051 | 2020-06-29 |
| 1932726700 | Lauren Marie Skemp | Nurse Practitioner | 1960 Hyview Rd, Cuba City, WI 53807-9718 | 2020-06-28 |
| 1235779240 | Conscious Practice, LLC | Nurse Practitioner | 119 19th St N, La Crosse, WI 54601-3724 | 2020-01-08 |
| 1073152161 | Stephanie L Ruskell | Nurse Practitioner | 3805 Spring St Ste 240, Mount Pleasant, WI 53405-1667 | 2020-01-06 |
| 1558924811 | Sarah Kathryn Garven | Nurse Practitioner | 5000 West National Ave Rm 3119, Milwaukee, WI 53295-1000 | 2019-04-22 |
| 1104394535 | Therese Ann Alm | Nurse Practitioner | 383 Williamstowne Ste 101, Delafield, WI 53018-2332 | 2018-11-03 |
| 1477079242 | Aeron Rachel Adams | Nurse Practitioner | W10237 Lake Emily Rd, Fox Lake, WI 53933 | 2017-08-14 |
| 1396140398 | Monica Gorski | Nurse Practitioner | 505 King St Ste 218, La Crosse, WI 54601-4289 | 2014-11-03 |
| Find all providers with the same taxonomy | ||||
| City | BROWN DEER |
| Zip Code | 53223 |
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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.