KRISTEN AMANDA SHEPHERD (NPI# 1760690010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760690010 |
| Entity Type | Individual |
| Full Name | KRISTEN AMANDA SHEPHERD |
| Practice Address |
3214 Winchester Dr Benton AR 72015 |
| Mailing Address |
4 Farmington Ct Little Rock AR 72227-2112 |
| Practice Telephone | 5013266160 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 373H00000X | Day Training/Habilitation Specialist | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255831558 | Kristen Leighanne Shepherd | Social Worker | 10 W 30th St, Holland, MI 49423-5021 | 2018-02-14 |
| 1174160204 | Kristen Shepherd | Nurse Practitioner | 3510 S Lafountain St, Kokomo, IN 46902-3803 | 2019-12-09 |
| 1770010647 | Kristen Shepherd | Speech-Language Pathologist | 2011 W 4th St, Ontario, OH 44906-1787 | 2017-05-22 |
| 1730380379 | Kristen Shepherd | Obstetrics & Gynecology | 1921 Waldemere St, Suite 802, Sarasota, FL 34239 | 2007-05-30 |
| Street Address |
3214 WINCHESTER DR |
| City | BENTON |
| State | AR |
| Zip Code | 72015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144373671 | Paula Kathryn Keys | Occupational Therapist | 3214 Winchester Dr, Benton, AR 72015 | 2007-01-19 |
| 1407064934 | Sandra Jean Farr | Day Training, Developmentally Disabled Services | 3214 Winchester Dr, Benton, AR 72015 | 2007-05-18 |
| 1639202716 | Ascent Acquisitions Corp-psc | Counselor | 3214 Winchester Dr, Benton, AR 72015 | 2007-03-14 |
| 1295863678 | Cecelia Bethards | Physical Therapist | 3214 Winchester Dr, Benton, AR 72015 | 2007-02-28 |
| 1902941446 | Pamela Diane Dodson | Counselor | 3214 Winchester Dr, Benton, AR 72015 | 2007-02-21 |
| 1588719280 | Kimberly Lynn Hedden | Occupational Therapist | 3214 Winchester Dr, Benton, AR 72015 | 2007-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790343135 | Justin King | Case Manager/Care Coordinator | 1502 Mary Kay Blv6, Benton, AR 72015 | 2019-05-31 |
| 1790253326 | Seth Alexander Weisheit | Nurse Practitioner | 824 Military Road, Benton, AR 72015 | 2018-11-13 |
| 1396269627 | Abby G Sims | Speech-Language Pathologist | 3391 Peachtree Lane, Benton, AR 72015 | 2017-07-28 |
| 1225551278 | Jessica R Poe | Case Manager/Care Coordinator | 1502 Marykay Blvd, Benton, AR 72015 | 2017-07-21 |
| 1003357997 | Jamaal Langston | Case Manager/Care Coordinator | 1502 Mark Kay Blvd, Benton, AR 72015 | 2017-03-13 |
| 1881138550 | Shannon Gachot-ridgley | Counselor | 205 South Street Suite 3, Benton, AR 72015 | 2016-12-14 |
| 1295104578 | Excel Health of Haskell, Pllc | Clinical Nurse Specialist | 6029 Us Hwy 67, Haskell, AR 72015 | 2015-09-17 |
| 1528464054 | Kacey Jo Kiker | Nurse Practitioner | 620 W South St, Benton, AR 72015 | 2014-11-11 |
| 1700218252 | Jamie Brunt | Licensed Practical Nurse | 1718 Old Hot Springs Rd, Benton, AR 72015 | 2013-08-07 |
| 1760738942 | Kari J Richards | Physical Therapist | 5701 Springhill Rd, Bryant, AR 72015 | 2012-07-25 |
| Find all providers in zip 72015 | ||||
| Taxonomy Code | 373H00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Day Training/Habilitation Specialist |
| Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275061509 | Brandi Elaine Williams | Day Training/Habilitation Specialist | 3214 Winchester, Benton, AR 72015-2929 | 2017-05-31 |
| 1578941506 | Lashondra Adams | Day Training/Habilitation Specialist | 3214 Winchester, Benton, AR 72015-2929 | 2015-05-11 |
| 1417335449 | Cassie O'neill | Day Training/Habilitation Specialist | 3214 Winchester, Benton, AR 72015-2929 | 2015-05-11 |
| 1992912059 | Angela Rennels | Day Training/Habilitation Specialist | 3214 Winchester Drive, Benton, AR 72015 | 2007-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396375796 | Diana L Beck | Day Training/Habilitation Specialist | 1008 W Childress St, Morrilton, AR 72110-1708 | 2020-01-24 |
| 1538677869 | Regina Sloan | Day Training/Habilitation Specialist | 920 University Dr, Russellville, AR 72801-4303 | 2018-01-22 |
| 1194230169 | Amanda Morgan | Day Training/Habilitation Specialist | 272 School Ave, West Fork, AR 72774-3124 | 2017-12-12 |
| 1396268090 | Dawn Bridges | Day Training/Habilitation Specialist | 3920 Woodland Heights Road, Little Rock, AR 72223 | 2017-07-25 |
| 1871016923 | Emily A Huddleston | Day Training/Habilitation Specialist | 1801 N Buerkle St, Stuttgart, AR 72160-2519 | 2017-07-20 |
| 1255866604 | Race Cunningham | Day Training/Habilitation Specialist | 2871 American St, Springdale, AR 72764-6938 | 2017-04-24 |
| 1619417896 | Amy Pinkston | Day Training/Habilitation Specialist | 149 Old Trestle Ln, Batesville, AR 72501-9597 | 2017-03-07 |
| 1891155719 | Karen Hartsfield | Day Training/Habilitation Specialist | 524 Self Ln, Newark, AR 72562-9615 | 2016-03-04 |
| 1821458738 | Sarah Sexton | Day Training/Habilitation Specialist | 1334 Red Deer Trl, Salem, AR 72576-5510 | 2016-03-04 |
| 1063885002 | Jaime Smith | Day Training/Habilitation Specialist | 56 Buck Ln, Poughkeepsie, AR 72569-9150 | 2015-11-12 |
| Find all providers with the same taxonomy | ||||
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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.