KRYSTAL SHEPHARD (NPI# 1912365685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912365685 |
| Entity Type | Individual |
| Full Name | KRYSTAL SHEPHARD |
| Practice Address |
208 E. Broadway Ave. Allen OKLAHOMA 74825 UM |
| Practice Telephone | 5808572125 |
| Practice Fax Number | 5808572138 |
| Mailing Telephone | 5808572125 |
| Mailing Fax Number | 5808572138 |
| Enumeration Date | 2016-02-09 |
| Last Update Date | 2016-02-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | HC7821 | OK | Agencies |
| Y | 251E00000X | Home Health | 7811 | OK | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | NPI | 1568582468 | 01 |
| OK | NPI | 1942287339 | 01 |
| OK | NPI | 1841222585 | 01 |
| Street Address |
208 E. BROADWAY AVE. |
| City | ALLEN |
| State | OKLAHOMA |
| Zip Code | 74825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174942361 | Holdenville Hospital Authority | Clinic/Center | 202 W Broadway, Allen, OK 74825 | 2014-04-15 |
| 1932557816 | Holdenville Hospital Authority | Clinic/Center | 202 W Broadway, Allen, OK 74825 | 2016-06-01 |
| 1073983961 | Heather Prentice | Registered Nurse | 202 West Broadway, Allen, OK 74825 | 2015-10-05 |
| 1205876752 | Rural Health Care Innovations | Family Medicine | 200 N Easton, Allen, OK 74825-0250 | 2006-06-06 |
| 1265491237 | Jeffry Michael Bryen | Physician Assistant | 200 N. Easton, Allen, OK 74825-0250 | 2006-03-20 |
| 1891871885 | Holdenville General Hospital Scholarship Fund Inc | Clinic/Center | 202 West Broadway, Allen, OK 74825-0350 | 2006-10-31 |
| 1245514181 | Allen Public Schools | Local Education Agency (LEA) | 110 North Richmond, Allen, OK 74825-0430 | 2011-10-10 |
| 1912470949 | Lafave Melton Medical Inc | Family Medicine | 501 E Conway, Allen, OK 74825-2904 | 2019-01-02 |
| 1669840831 | Peggy Sue Rinehart | Peer Specialist | 15306 County Road 3680, Allen, OK 74825-6948 | 2015-09-04 |
| 1366529034 | Allen Neighborhood Pharmacy Inc | Pharmacy | 200 E Lexington, 200 East Lexington, Allen, OK 74825-9224 | 2006-11-01 |
| Find all providers in zip 74825 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992304620 | Transitional Care Resources Inc | Home Health | 315 S Jupiter Rd Ste 105, Allen, TX 75002-3055 | 2020-10-23 |
| 1770190522 | Brandi Singleton | Home Health | 1210 Wilshire Ct, Allen, TX 75002-8671 | 2020-09-25 |
| 1174137921 | Michael Mukora | Home Health | 719 White Oak St, Allen, TX 75002-5251 | 2020-08-31 |
| 1104436054 | A1 Home Health LLC | Home Health | 2298 Middle Town Ct, Allen, TX 75013-5844 | 2020-08-05 |
| 1336771963 | Nakeisha N Hughes | Home Health | 351 Chaparral Rd Apt 1404, Allen, TX 75002-4174 | 2020-02-11 |
| 1457832479 | Prosper Therapy | Home Health | 2012 Farmhouse Way, Allen, TX 75013-4710 | 2018-08-27 |
| 1740771922 | Simplifi Commercial Holdings LLC | Home Health | 1215 Arbor Park Dr, Allen, TX 75013-5619 | 2018-05-23 |
| 1356895411 | In Home Support Network LLC | Home Health | 542 Hawthorne Dr, Allen, TX 75002-4023 | 2016-08-06 |
| 1639556889 | Texas Senior Care, Lp | Home Health | 780 North Watters Road, Suite 160, Allen, TX 75013-5085 | 2015-04-27 |
| 1578954988 | Jenevieve Homecare and Hospice | Home Health | 1831 Mountain Laurel Ln, Allen, TX 75002-6379 | 2015-02-09 |
| Find all providers in ALLEN | ||||
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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.