SUMMER SHEPPARD (NPI# 1912329699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912329699 |
| Entity Type | Individual |
| Full Name | SUMMER SHEPPARD |
| Practice Address |
511 E 23rd St Panama City FL 32405-5307 |
| Mailing Address |
2208 Hammock Square Dr Unit 202 Lynn Haven FL 32444-7614 |
| Practice Telephone | 8507478822 |
| Enumeration Date | 2014-01-14 |
| Last Update Date | 2014-01-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247100000X | Radiologic Technologist | CRT 80202 | FL | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
511 E 23RD ST |
| City | PANAMA CITY |
| State | FL |
| Zip Code | 32405-5307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134188824 | Suncoast Open Mri LLC | Clinic/Center | 511 E 23rd St, Panama City, FL 32405-5307 | 2006-03-21 |
| 1770905457 | Jennifer Valle | Radiologic Technologist | 511 E 23rd St, Panama City, FL 32405-5307 | 2014-01-14 |
| 1902146525 | Tiffany N West | Radiologic Technologist | 511 E 23rd St, Panama City, FL 32405-5307 | 2013-02-19 |
| 1134417595 | Cecil Jay Lynn | Spec/Tech, Cardiovascular | 511 E 23rd St, Panama City, FL 32405-5307 | 2011-07-19 |
| 1558659912 | Mary M Jones | Spec/Tech, Cardiovascular | 511 E 23rd St, Panama City, FL 32405-5307 | 2011-07-19 |
| 1861729253 | Nikitta Ashley Bobzien | Radiologic Technologist | 511 E 23rd St, Panama City, FL 32405-5307 | 2009-11-06 |
| 1457586869 | Denice L Spencer | Radiologic Technologist | 511 E 23rd St, Panama City, FL 32405-5307 | 2009-05-29 |
| 1417125576 | Natalie D Badger | Radiologic Technologist | 511 E 23rd St, Panama City, FL 32405-5307 | 2008-02-12 |
| 1598873663 | Tracy Lynee Vanderschaaf | Radiologic Technologist | 511 E 23rd St, Panama City, FL 32405-5307 | 2006-08-28 |
| 1568480580 | Jennifer Jone Johns | Radiologic Technologist | 511 E 23rd St, Panama City, FL 32405-5307 | 2006-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457962136 | Kimberlea Fox | Behavioral Analyst | 4750 Collegiate Drive, Technology Building 157, Panama City, FL 32405 | 2020-08-14 |
| 1598325714 | Covenant Home Health Care, LLC | Home Health | 107 W. 19th Street, Panama City, FL 32405 | 2019-06-19 |
| 1467921403 | Amy Hancock | Counselor | 1212 W. 19th St., Panama City, FL 32405 | 2018-11-20 |
| 1063991917 | Patricia Kagendo Mutunga | Day Training, Developmentally Disabled Services | 2813 Fairmont Dr, Panama City, FL 32405 | 2018-08-11 |
| 1871087882 | Southeastern Dermatology Group Pa | Pharmacy | 2505 Harrison Ave Ste A, Panama City, FL 32405 | 2018-06-22 |
| 1346733615 | Jessica Nicole Graham | Nurse Practitioner | 2507 Harrison Ave Unit 101, Panama City, FL 32405 | 2018-06-12 |
| 1437658424 | Coastal Mobility Transportation, LLC | Non-emergency Medical Transport (VAN) | 203 Forest Park Circle, Panama City, FL 32405 | 2018-02-06 |
| 1003314915 | The Anti-aging Clinic of Northwest Florida | Obstetrics & Gynecology | 3019 Osprey Cir, Panama City, FL 32405 | 2018-01-25 |
| 1255848487 | Sarah Theriot | Social Worker | 700 W 23rd St Bldg H, Panama City, FL 32405 | 2018-01-09 |
| 1336686054 | Angela Leake | Registered Nurse | 449 W 23 St, Panama City, FL 32405 | 2017-01-20 |
| Find all providers in zip 32405 | ||||
| Taxonomy Code | 247100000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487855284 | Paul R Hixon | Radiologic Technologist | 2024 State Ave, Panama City, FL 32405-4558 | 2007-05-30 |
| 1770905457 | Jennifer Valle | Radiologic Technologist | 511 E 23rd St, Panama City, FL 32405-5307 | 2014-01-14 |
| 1417125576 | Natalie D Badger | Radiologic Technologist | 511 E 23rd St, Panama City, FL 32405-5307 | 2008-02-12 |
| 1053524330 | Tracey Hixson | Radiologic Technologist | 1827 Harrison Ave, Panama City, FL 32405-7605 | 2007-05-07 |
| 1598873663 | Tracy Lynee Vanderschaaf | Radiologic Technologist | 511 E 23rd St, Panama City, FL 32405-5307 | 2006-08-28 |
| 1568480580 | Jennifer Jone Johns | Radiologic Technologist | 511 E 23rd St, Panama City, FL 32405-5307 | 2006-07-17 |
| 1083632095 | Albert Michael Pickle | Radiologic Technologist | 511 E 23rd St, Panama City, FL 32405-5307 | 2006-07-17 |
| 1053345264 | Terrie Lynn Frankenfield | Radiologic Technologist | 511 E 23rd St, Panama City, FL 32405-5307 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932672540 | All Injury & Diagnostic Clinic LLC | Radiologic Technologist | 125 Mason Ave Ste A, Daytona Beach, FL 32117-5017 | 2019-01-07 |
| 1134675036 | Luis Raul Rodriguez | Radiologic Technologist | 9056 Sw 148th Ct, Miami, FL 33196-4119 | 2016-08-30 |
| 1003362211 | Jeanette Christine Gillespie | Radiologic Technologist | 1357 Hillside Dr., Tarpon Springs, FL 34689-2011 | 2016-08-28 |
| 1366996670 | Jennifer Tzigos | Radiologic Technologist | 2586 Windwood Dr, Clearwater, FL 33763-1254 | 2016-08-04 |
| 1033566112 | Lori Ganim | Radiologic Technologist | 10000 Bay Pines Blvd North, St Petersburg, FL 33708 | 2016-05-19 |
| 1629432695 | Emmanuel Jose | Radiologic Technologist | 1489 N Military Trl Ste 217, West Palm Beach, FL 33409-6057 | 2016-04-06 |
| 1942672860 | Julia Mcdaniel | Radiologic Technologist | 1420 Lantry Ct, Orlando, FL 32804-1220 | 2015-10-30 |
| 1548638521 | Regional Medical Imaging, Inc | Radiologic Technologist | 7475 Nw 4th St, Plantation, FL 33317-2227 | 2015-09-09 |
| 1750764387 | Jennifer Lynn Howell | Radiologic Technologist | 5901 Broken Sound Parkway #450, Boca Raton, FL 33487-2787 | 2015-07-01 |
| 1164817367 | Gang Qiu | Radiologic Technologist | 8090 Atlantic Blvd Apt G92, Jacksonville, FL 32211-8573 | 2015-04-03 |
| Find all providers with the same taxonomy | ||||
| City | PANAMA CITY |
| Zip Code | 32405 |
Please comment or provide details below to improve the information on SUMMER SHEPPARD.
| 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.