KATHLEEN JEAN SHEPARD (NPI# 1568062057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568062057 |
| Entity Type | Individual |
| Full Name | KATHLEEN JEAN SHEPARD |
| Other Name | KATHLEEN JEAN CONKLIN |
| Practice Address |
200 Martin Luther King Blvd Wichita Falls TX 76301-1152 |
| Mailing Address |
11220 Kylnn Creek Rd Elgin OK 73538-3838 |
| Practice Telephone | 9407666306 |
| Mailing Telephone | 5803517461 |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2020-10-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R0107412 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962936310 | Kathleen Bernadette Shepard | Student in an Organized Health Care Education/Training Program | 40833 Ingersoll Ter, Fremont, CA 94538-3581 | 2017-04-12 |
| 1548452998 | Kathleen Rebekah Shepard | Speech-Language Pathologist | 4011 Nw 17th Pl, Gainesville, FL 32605-3564 | 2007-08-09 |
| Street Address |
200 MARTIN LUTHER KING BLVD |
| City | WICHITA FALLS |
| State | TX |
| Zip Code | 76301-1152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205807633 | Steven D Gulbranson | Dentist | 200 Martin Luther King Blvd, Wichita Falls, TX 76301-1152 | 2006-02-01 |
| 1790335859 | Kimberly Allgood | Nurse Practitioner | 200 Martin Luther King Blvd, Wichita Falls, TX 76301-1152 | 2019-09-19 |
| 1063072247 | Kelli Mcgill | Counselor | 200 Martin Luther King Blvd, Wichita Falls, TX 76301-1152 | 2019-06-19 |
| 1528507670 | Susann Edith Eirosius | Social Worker | 200 Martin Luther King Blvd, Wichita Falls, TX 76301-1152 | 2017-02-21 |
| 1508319245 | Irma Escobedo | Counselor | 200 Martin Luther King Blvd, Wichita Falls, TX 76301-1152 | 2016-07-29 |
| 1558733279 | Ning Huang | Nurse Practitioner | 200 Martin Luther King Blvd, Wichita Falls, TX 76301-1152 | 2015-10-21 |
| 1083023550 | Noel James | Social Worker | 200 Martin Luther King Blvd, Ste. 101, Wichita Falls, TX 76301-1152 | 2014-08-08 |
| 1548547094 | Nicole Marie Saenz | Nurse Practitioner | 200 Martin Luther King Blvd, Wichita Falls, TX 76301-1152 | 2011-11-11 |
| 1366747917 | Merrill Lee Wood | Nurse Practitioner | 200 Martin Luther King Blvd, Wichita Falls, TX 76301-1152 | 2011-01-12 |
| 1740580935 | Misty D Montellano | Nurse Practitioner | 200 Martin Luther King Blvd, Wichita Falls, TX 76301-1152 | 2010-10-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679192991 | Rebecca Ashley Marin | Licensed Vocational Nurse | 909 8th Sreet, Ste 100, Wichita Falls, TX 76301 | 2020-04-16 |
| 1164077558 | Melissa Ann Marshall | Registered Nurse | 1717 Lucile Ave, Wichita Falls, TX 76301 | 2019-08-02 |
| 1841760659 | Edward Scott Hamilton | Psychologist | 710 Lamar St., Wichita Falls, TX 76301 | 2018-12-05 |
| 1457872681 | Jennyfer A Rosado | Counselor | 719 Scott Ave Ste 610, Wichita Falls, TX 76301 | 2017-06-28 |
| 1023547676 | Cale David Lennard | Dentist | 2405 9th St Ste A, Wichita Falls, TX 76301 | 2017-06-07 |
| 1790198455 | Tongle Yu | Family Medicine | 1301 Third St, Suite 200, Wichita Falls, TX 76301 | 2014-06-10 |
| 1821412081 | Jennifer Burbage | Nurse Practitioner | 1700 3rd Street, Wichita Falls, TX 76301 | 2014-02-09 |
| 1275871568 | Jeffrey John Papak | Pharmacy Technician | 1610 9th Street, Wichita Falls, TX 76301 | 2013-01-22 |
| 1679826853 | Cheryl Denise Williams | Clinical Nurse Specialist | 1605 10th Street, Wichita Falls, TX 76301 | 2012-10-24 |
| 1902199250 | Tilahun Worku Belay | Internal Medicine | 1631 11th St Unit B, Wichita Falls, TX 76301 | 2011-05-19 |
| Find all providers in zip 76301 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467098434 | D Esthetique Cosmetic &laser Center | Nurse Practitioner | 3916 Callfield Road, Suite 300, Wichita Falls, TX 76308 | 2019-11-25 |
| 1821548843 | Krysla Darden | Nurse Practitioner | 12 Canyon View Ct, Wichita Falls, TX 76309-2718 | 2016-10-13 |
| 1063876209 | Michelle Leigh Mcquerry | Nurse Practitioner | 200 Martin Luther King Blvd # Jr, Wichita Falls, TX 76301-1152 | 2016-04-13 |
| 1841677671 | Evelyn Oshoro | Nurse Practitioner | 5005 Lake Park Dr Apt 417a, Wichita Falls, TX 76302-4617 | 2015-04-30 |
| 1821412081 | Jennifer Burbage | Nurse Practitioner | 1700 3rd Street, Wichita Falls, TX 76301 | 2014-02-09 |
| 1053740753 | Joe Lawrence Sledge | Nurse Practitioner | 1631 11th St Ste A, Wichita Falls, TX 76301-4320 | 2013-11-04 |
| 1033492343 | Judith L Brewer | Nurse Practitioner | 867 Wellington Ln, Wichita Falls, TX 76305-5255 | 2011-09-22 |
| 1578891271 | Valerie Biller Pinson | Nurse Practitioner | 804 Denver St, Wichita Falls, TX 76301-4139 | 2009-11-18 |
| 1306077888 | Quality Express Clinic LLC | Nurse Practitioner | 6020 Laci Ln, Wichita Falls, TX 76310-2818 | 2009-08-02 |
| 1417102625 | Lisa Sheriff | Nurse Practitioner | 3506 Buchanan, Wichita Falls, TX 76308-2303 | 2008-12-02 |
| Find all providers in WICHITA FALLS | ||||
| City | WICHITA FALLS |
| Zip Code | 76301 |
Please comment or provide details below to improve the information on KATHLEEN JEAN SHEPARD.
| 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.