MARY C SHEPARD (NPI# 1790078301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790078301 |
| Entity Type | Individual |
| Full Name | MARY C SHEPARD |
| Practice Address |
4913 Professional Ct Raleigh NC 27609-4913 |
| Practice Telephone | 2522442388 |
| Practice Fax Number | 2522440088 |
| Mailing Telephone | 2522442388 |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2011-05-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
HC3278 | NC | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3418073 | 05 | |
| NC | 6601442 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376100388 | Mary Shepard | Technician | 1350 E M 21, Owosso, MI 48867-8000 | 2019-05-24 |
| 1275942054 | Mary Shepard | Dental Hygienist | 438 Main St, Suite 204, Middletown, CT 06457-3396 | 2014-08-06 |
| 1639595648 | Mary Jane Shepard | Registered Nurse | 1070 Heckle Blvd, 307, Rock Hill, SC 29732-2853 | 2014-03-14 |
| 1841323011 | Mary Shepard | Occupational Therapist | 12110 Clayton Rd, Saint Louis, MO 63131-2516 | 2007-03-14 |
| 1669485165 | Mary Alice Shepard | Internal Medicine | 2211 E Mill Plain Blvd, Vancouver, WA 98661-4329 | 2006-08-14 |
| 1730131335 | Mary M Shepard | Nurse Practitioner | 1415 California St, Houston, TX 77006-2602 | 2006-05-16 |
| Street Address |
4913 PROFESSIONAL CT |
| City | RALEIGH |
| State | NC |
| Zip Code | 27609-4913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396062261 | Johanna Marie Kane | Social Worker | 4913 Professional Ct, Suite 8, Raleigh, NC 27609-4913 | 2010-04-30 |
| 1124679758 | Deius Evans | Driver | 4913 Professional Ct, Raleigh, NC 27609-1925 | 2019-09-25 |
| 1811443013 | Miriam Gold Lcsw, Pllc | Social Worker | 4913 Professional Ct, Suite 5, Raleigh, NC 27609-4913 | 2016-08-28 |
| 1902246879 | Jennifer Kelly Silcox Thomas | Marriage & Family Therapist | 4913 Professional Ct, Suite 8, Raleigh, NC 27609-4913 | 2013-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184235582 | Choice Service Solutions LLC | In Home Supportive Care | 5300 Six Fox Rd Siite205, Raleigh, NC 27609 | 2020-08-11 |
| 1003426073 | Rosana Oba -rovira | Registered Nurse | 5300 Six Fox Road, Suite 205, Raleigh, NC 27609 | 2020-08-05 |
| 1821612706 | Helen Alexandra Bonner | Physical Medicine & Rehabilitation | Hey Clinic Pa, 3320 Wake Forest Road Ste 450, Raleigh, NC 27609 | 2020-06-05 |
| 1215423579 | Appiah Nana Larbi | Social Worker | Easter Seals Ucp 4000 Wake Forest Rd Ste 200, Raleigh, NC 27609 | 2018-07-10 |
| 1215423777 | Broadway Home Care LLC | In Home Supportive Care | 107 Windel Dr Ste 105, Raleigh, NC 27609 | 2018-07-09 |
| 1275027948 | Lacey Allene Cottingham | Social Worker | 312 W Millbrook Rd Ste 129, Raleigh, NC 27609 | 2018-06-18 |
| 1447748819 | Integrated Dermatology of North Raleigh, Pllc | Dermatology | 3809 Computer Dr Ste 200, Raleigh, NC 27609 | 2018-05-01 |
| 1902325418 | Naomi Christine Askew | Nurse Practitioner | 3400 Wake Forest Drive, Bldg 9, Bldg #9, 4th Floor, Raleigh, NC 27609 | 2017-09-15 |
| 1962929679 | Alexia Montague | Social Worker | 1306 Paddock Drive Suite E-100, Raleigh, NC 27609 | 2017-08-23 |
| 1730602236 | Chantel Washington-mbuthia | Counselor | 1100 Logger Ct. Ste C100, Heartfelt Alternative Inc, Raleigh, NC 27609 | 2017-07-18 |
| Find all providers in zip 27609 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891034997 | S & L Home Care Services, Inc. | Technician | 2913 Candlehurst Lane, Raleigh, NC 27616 | 2013-02-08 |
| 1366762981 | Charisse Middleton | Technician | 1022 Sandfiddler Dr, Apt. 102, Raleigh, NC 27604-8638 | 2010-06-05 |
| 1073842324 | Israel Ojimadu | Technician | 9200 Sayornis Ct, Raleigh, NC 27615-8114 | 2009-12-16 |
| 1548405798 | Carolina Comprehensive Services, LLC | Technician | 312 W Millbrook Rd Ste 137, Raleigh, NC 27609-4398 | 2008-12-02 |
| 1902968936 | Healthcore Homecare | Technician | 1001 Navaho Dr., Suite 101, Raleigh, NC 27609-7335 | 2006-12-15 |
| 1083237309 | W3 Care Home Health Assistance | Technician | 152 Wind Chime Ct, Raleigh, NC 27615-6433 | 2020-05-20 |
| 1447480900 | Julie Johnson | Technician | 7706 Six Forks Rd, Suite 102, Raleigh, NC 27615-5067 | 2009-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992323299 | Natalie E King | Technician | 12718 Winding Ridge Rd, Huntersville, NC 28078-7108 | 2020-07-13 |
| 1366064412 | Freedom LLC | Technician | 27 1st Ave Ne Ste 205, Hickory, NC 28601-6219 | 2020-05-12 |
| 1508404120 | Annette Williams | Technician | 118 Gunn Poole Rd, Mebane, NC 27302-8476 | 2019-12-13 |
| 1811451891 | Jamie Flynn | Technician | 2476 Johnsontown Rd, Thomasville, NC 27360-7596 | 2019-01-24 |
| 1043783517 | Carol Ann Carrodus | Technician | 135 Brevard St, Winston Salem, NC 27101-2204 | 2019-01-08 |
| 1588146013 | Giselle Mumayamona Bwensa | Technician | 21 Hawthorne Ln, Youngsville, NC 27596-2083 | 2018-08-31 |
| 1538640628 | Donnell Corey Brown Jr. | Technician | 519 Orchard Drive, Eden, NC 27288 | 2018-08-27 |
| 1174027197 | Robin Kecia Mann | Technician | 5044 George Miles Road, Burlington, NC 27217 | 2018-03-23 |
| 1245756634 | Nykysha Bethea | Technician | 3002 Greystone Pt Apt H, Greensboro, NC 27410-8944 | 2017-08-17 |
| 1922464353 | Shavon Land | Technician | 1323 Spruce St, Charlotte, NC 28203-4670 | 2016-01-14 |
| 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.