MRS. REBECCA SHEPHERD (NPI# 1710300660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710300660 |
| Entity Type | Individual |
| Full Name | MRS. REBECCA SHEPHERD |
| Credential | APRN |
| Practice Address |
403 Sycamore St Williamsburg KY 40769-1153 |
| Mailing Address |
Po Box 1325 Corbin KY 40702-1325 |
| Practice Telephone | 6065498244 |
| Practice Fax Number | 6065490354 |
| Mailing Telephone | 6065268131 |
| Mailing Fax Number | 6065288661 |
| Enumeration Date | 2014-01-29 |
| Last Update Date | 2016-02-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3008495 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | RR MEDICARE | P01510190 | 01 |
| KY | 7100363990 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326319757 | Rebecca Louise Shepherd | Doula | 1818 E Fir St, Seattle, WA 98122-5750 | 2012-01-17 |
| 1699316026 | Rebecca Sinnett Shepherd | Social Worker | 200 Tarpon Trl, Jacksonville, NC 28546-5287 | 2019-10-07 |
| 1659405744 | Rebecca Barnes Shepherd | Physician Assistant | 462 Grider St, Buffalo, NY 14215-3021 | 2007-03-14 |
| 1629009238 | Rebecca M Shepherd | Internal Medicine | 2108 Harrisburg Pike, Suite 200, Lancaster, PA 17601-2644 | 2006-07-05 |
| Street Address |
403 SYCAMORE ST |
| City | WILLIAMSBURG |
| State | KY |
| Zip Code | 40769-1153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780688010 | David Bernard Williams | Family Medicine | 403 Sycamore St, Williamsburg, KY 40769-1153 | 2005-06-01 |
| 1548755739 | Baptist Health Medical Group Inc | Clinic/Center | 403 Sycamore St, Williamsburg, KY 40769-1153 | 2018-06-29 |
| 1861693897 | David B Williams Md Psc | Nurse Practitioner | 403 Sycamore St, Williamsburg, KY 40769-1153 | 2007-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535810 | Norvell Family Dentistry Pllc | Clinic/Center | 821 W. Hwy 25w, Williamsburg, KY 40769 | 2020-10-15 |
| 1730710724 | Heidi Marie Zwick | Specialist/Technologist | 6790 College Station Drive, Williamsburg, KY 40769 | 2020-01-29 |
| 1841764271 | Dayspring Health Inc | Clinic/Center | 640 West Highway 92, Williamsburg, KY 40769 | 2019-01-18 |
| 1649713728 | William Linscomb | Specialist/Technologist | 207 Circle Ave Apt8, Williamsburg, KY 40769 | 2016-11-22 |
| 1881137883 | Ashley Konrad | Specialist/Technologist | 6790 College Station Dr, Williamsburg, KY 40769 | 2016-11-22 |
| 1053680421 | Michael C Culver | Veterinarian | 319 Tackett Creek Rd, Williamsburg, KY 40769 | 2011-12-14 |
| 1942586060 | Smith and Brown Family Dentistry | Dentist | 821 S Hwy 25w, Williamsburg, KY 40769 | 2011-11-03 |
| 1346537271 | Kayla Fields | Dentist | 640 W Highway 92, Williamsburg, KY 40769 | 2011-06-29 |
| 1407154800 | Jellico Community Hospital, Inc | Nurse Practitioner | 998 South Highway 25w, Willaimsburg, KY 40769 | 2011-03-09 |
| 1568614543 | Family Health Care Associates of Williamsburg | Nurse Practitioner | 965 South Hwy 25, Ste 52, Williamsburg, KY 40769 | 2008-10-21 |
| Find all providers in zip 40769 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720899 | Whitney Ashton Mervau | Nurse Practitioner | 3836 Haven Hill Ln, Williamsburg, MI 49690-9536 | 2020-11-07 |
| 1689286346 | Jamie Butt | Nurse Practitioner | 4175 Ironbound Rd, Williamsburg, VA 23188-2944 | 2020-08-23 |
| 1477187557 | Yvette Dawn Grijalva | Nurse Practitioner | 811 Schooner Blvd, Williamsburg, VA 23185-5297 | 2020-02-27 |
| 1164068250 | Kelly Ann Riley | Nurse Practitioner | 120 Kings Way Ste 3100, Williamsburg, VA 23185-2506 | 2019-11-23 |
| 1083261937 | Lola A Meadors | Nurse Practitioner | 65 N Highway 25 W, Williamsburg, KY 40769-1540 | 2019-08-23 |
| 1396204319 | Shannon Leigh Dishman | Nurse Practitioner | 457 Mclaws Cir Ste 1, Williamsburg, VA 23185-5645 | 2019-03-19 |
| 1174930994 | Nancy Jallo | Nurse Practitioner | 604 Dam Lake Ct, Williamsburg, VA 23185-2796 | 2014-07-14 |
| 1669891966 | Jill L Bryant Aprn LLC | Nurse Practitioner | 406 N Highway 25 W, Williamsburg, KY 40769-1545 | 2014-04-15 |
| 1568614543 | Family Health Care Associates of Williamsburg | Nurse Practitioner | 965 South Hwy 25, Ste 52, Williamsburg, KY 40769 | 2008-10-21 |
| 1154301968 | Janet Gibson | Nurse Practitioner | 1600 Richmond Rd, Williamsburg, VA 23185-2724 | 2006-01-18 |
| Find all providers in WILLIAMSBURG | ||||
| City | WILLIAMSBURG |
| Zip Code | 40769 |
Please comment or provide details below to improve the information on MRS. REBECCA SHEPHERD.
| 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.