STEPHANIE ROSENBLOOM SHEPPARD (NPI# 1578857447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578857447 |
| Entity Type | Individual |
| Full Name | STEPHANIE ROSENBLOOM SHEPPARD |
| Credential | MD |
| Practice Address |
3800 Reservoir Rd Nw Department of Pediatrics Washington DC 20007-2113 |
| Practice Telephone | 2024445437 |
| Practice Fax Number | 2024442961 |
| Mailing Telephone | 2024445437 |
| Mailing Fax Number | 2024442961 |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2017-08-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
D0077718 | MD | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952759870 | Stephanie Delois Sheppard | Counselor | 540 Ne 25th St, Gainesville, FL 32641-3933 | 2016-06-01 |
| 1598148207 | Stephanie Sheppard | Home Health Aide | 420 W Poplar St, Compton, CA 90220-2038 | 2015-06-30 |
| 1427569326 | Stephanie Kristen Sheppard | Physician Assistant | 214 W Bowery St, Akron, OH 44308-1046 | 2017-10-18 |
| Street Address |
3800 RESERVOIR RD NW DEPARTMENT OF PEDIATRICS |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20007-2113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396748802 | John Hugh Lynch | Urology | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2005-05-31 |
| 1346841087 | Shahrzad Chitsaz | Pharmacist | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2020-11-07 |
| 1891392296 | Morgan M Casimir | Occupational Therapist | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2020-10-08 |
| 1922615764 | Kelly Trump | Nurse Practitioner | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2020-09-25 |
| 1790392819 | La Sheron A Bankhead | Speech-Language Pathologist | 3800 Reservoir Rd Nw, Bles Building, Ground Floor, Room Cg-12, Washington, DC 20007 | 2020-09-24 |
| 1689289688 | Laurie L Nguyen | Registered Nurse | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2020-09-15 |
| 1598370652 | Yazan Subhi Juma' | Student in an Organized Health Care Education/Training Program | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2020-09-14 |
| 1326653668 | Allison Elizabeth Boyd | Physician Assistant | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2020-09-14 |
| 1770198301 | Medstar Medical Group II LLC | Internal Medicine | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2020-09-10 |
| 1497370167 | Kirby K Edsill | Internal Medicine | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2020-06-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447872411 | Pamela Angela Jackson | Counselor | 3720 S Street N.w Lestine Jackson, House, Washington, DC 20007 | 2020-05-13 |
| 1992289334 | Chelsea Carolyn Stahl | Nurse Practitioner | Medstar Georgetown University Hospital Rad Oncology, 3800 Reservoir Road Nw Ll Bles, Washington, DC 20007 | 2018-09-21 |
| 1205322070 | Etta L Sandler | Social Worker | 3222 N Street, N.w., # 300, Washington, DC 20007 | 2018-07-05 |
| 1609361286 | Sarah Kathryn Thibeau | Speech-Language Pathologist | 4759 Reservoir Rd, Nw, Washington D.c., DC 20007 | 2018-06-26 |
| 1366947871 | Stephen William Kwong | Student in an Organized Health Care Education/Training Program | Medstar Georgetown University Hospital, 3800 Reservoir Road, Washington, DC 20007 | 2018-03-27 |
| 1720599020 | Nnenna Sylverline Ewuzie | Home Health Aide | 501 School Street, Sw Suit 200, Professional Health Care Resources, Washington, DC 20007 | 2017-10-13 |
| 1457870958 | Chief Logan Health Supplies | Durable Medical Equipment & Medical Supplies | 3220 N St Nw #1400, Washington, DC 20007 | 2017-09-15 |
| 1174985220 | Robert Matthew Cronin | Physician Assistant | 3800 Reservoir Rd. Nw, 4phc, Washington, DC 20007 | 2016-03-27 |
| 1194111898 | Clute Clinic | Nurse Practitioner | 1315 31 St Nw, Washington, DC 20007 | 2015-04-09 |
| 1003211129 | Mary Oluwaseyi Akinbo | Registered Nurse | 1010 Wisconsin Ave N.w., Suite 300, Washington, DC 20007 | 2014-10-31 |
| Find all providers in zip 20007 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841584083 | Beri Massa-buck | Pediatrics | 900 23rd St Nw Ste 2092, Washington, DC 20037-2342 | 2011-06-06 |
| 1386836146 | Zeina N Kiblawi | Pediatrics | 3529 R St Nw, Washington, DC 20007-2327 | 2007-08-15 |
| 1255436085 | Fariborz Rahbar | Pediatrics | 20241 Georgia Avenue, Nw, Washington, DC 20060 | 2006-09-14 |
| 1730127127 | Adora C Okogbule-wonodi | Pediatrics | 2041 Georgia Ave Nw Fl 6, Washington, DC 20060-1544 | 2006-06-04 |
| 1255392320 | Cheryl Marco Naulty | Pediatrics | 6900 Gerogia Ave Nw, Washington, DC 20307-0001 | 2006-03-29 |
| 1710959366 | Sheila Y Owens-collins | Pediatrics | 1150 Varnum Street, Ne, St. Catherine's Hall/1st Floor/room 102, Washington, DC 20017-2104 | 2006-02-07 |
| 1134103385 | Inez Vera Reeves | Pediatrics | 2041 Georgia Ave Nw Ste 3300, Washington, DC 20060 | 2005-12-01 |
| 1144631144 | Ashraf Afifi | Pediatrics | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2014-05-13 |
| 1154684520 | Simranjeet Singh Sran | Pediatrics | 111 Michigan Ave Nw, Washington, DC 20010 | 2012-06-20 |
| 1548528474 | Suhasini Kaushal | Pediatrics | 3800 Reservoir Rd Nw, Suite 3400, Washington, DC 20007-2113 | 2012-04-28 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20007 |
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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.