CYNTHIA M SHEPHERD


Address: 6920 Pointe Inverness Way Ste 120, Fort Wayne, IN 46804-7926
Phone: 2604364060

CYNTHIA M SHEPHERD (NPI# 1912435058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912435058
Entity Type Individual
Full Name CYNTHIA M SHEPHERD
Practice Address 6920 Pointe Inverness Way Ste 120
Fort Wayne
IN 46804-7926
Mailing Address 3702 New Vision Dr Bldg B
Fort Wayne
IN 46845-1703
Practice Telephone 2604364060
Mailing Telephone 2602666013
Mailing Fax Number 2604585831
Enumeration Date 2017-06-02
Last Update Date 2017-12-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 28207290A IN Nursing Service Providers
Y 363L00000X Nurse Practitioner 71007311A IN Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
71007311A IN Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
6920 Pointe Inverness Way Ste 120, Fort Wayne, IN 468047926 2604364060

Other Providers CYNTHIA SHEPHERD

NPI Name Taxonomy Address Enumeration
1457982241 Cynthia Marie Shepherd Social Worker 3835 Edison Lakes Pkwy Ste 200, Mishawaka, IN 46545-3462 2020-01-30
1689899486 Cynthia L Shepherd Speech-Language Pathologist 2824 Hunter Rd, Huntertown, IN 46748-9456 2007-04-16
1346349297 Cynthia J Shepherd Internal Medicine 5414 S Broadway, Tyler, TX 75703-1335 2006-09-21
1710409784 Cynthia L Shepherd Behavior Technician 11 Robinson St, Pottstown, PA 19464-6421 2017-07-12
1861639338 Cynthia G Shepherd Speech-Language Pathologist 817 N. Mound St., Nacogdoches, TX 75961-4427 2009-01-20
1730236688 Cynthia L Shepherd Internal Medicine 3320 Old Jefferson Rd, Bldg 700, Athens, GA 30607 2007-01-04
1043273212 Cynthia R. Shepherd Physical Therapist 260 Fort Sanders West Blvd, Suite 110, Knoxville, TN 37922-3355 2006-04-10

Office Location

Street Address 6920 POINTE INVERNESS WAY STE 120
City FORT WAYNE
State IN
Zip Code 46804-7926

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275980690 April Anderson Nurse Practitioner 6920 Pointe Inverness Way Ste 120, Fort Wayne, IN 46804-7926 2016-05-16
1548780109 Christina M Trahin Registered Nurse 6920 Pointe Inverness Way Ste 120, Fort Wayne, IN 46804-7926 2017-06-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396350344 Derek Mumaw Physical Therapist 8420 Illinois Rd, Fort Wayne, IN 46804 2020-09-15
1942840228 Erin M Mason Behavior Technician 5601 Coventry Ln, Fort Wayne, IN 46804 2020-01-14
1346880879 Emily A Abdalla Behavior Technician 5601 Coventry Ln., Fort Wayne, IN 46804 2020-01-13
1083265433 Fort Wayne Endodontics Dentist 9407 Illinois Rd, Fort Wayne, IN 46804 2019-09-26
1689140949 Harrison Dental Group II, LLC Dentist 1333 Getz Rd, Fort Wayne, IN 46804 2018-10-15
1346731908 Erin Nicole Zimmerman Nurse Practitioner 10170 Illinois Rd # 14, Fort Wayne, IN 46804 2018-05-19
1417446022 Mary Harrington Physical Therapist 3320 Copper Hill Run, Fort Wayne, IN 46804 2018-05-09
1942701214 Joshawa Todd Torres Marriage & Family Therapist 5651 Coventry Ln # 116, Fort Wayne, IN 46804 2018-02-22
1194235408 Mitchell Kory Meyer Specialist/Technologist 9125 Yellow Tree Ct, Fort Wayne, IN 46804 2017-10-02
1902324916 Emily Rene Sagstetter Specialist/Technologist 6034 Liberty Glade Ct, Fort Wayne, IN 46804 2017-08-30
Find all providers in zip 46804

Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891394599 Laury Farrell Nurse Practitioner 6017 Stoney Creek Dr, Fort Wayne, IN 46825-4410 2020-10-22
1730787599 Crystal Neal Nurse Practitioner 4430 Keeneland Ln Unit 202, Fort Wayne, IN 46845-1985 2020-10-14
1225668312 Kathleen Vanderreyden Nurse Practitioner 3005 E State Blvd, Fort Wayne, IN 46805-4736 2020-01-17
1043703903 Kara Stackhouse Nurse Practitioner 11050 Parkview Plaza Drive, Fort Wayne, IN 46845 2018-06-14
1275980690 April Anderson Nurse Practitioner 6920 Pointe Inverness Way Ste 120, Fort Wayne, IN 46804-7926 2016-05-16
1922470970 Jennifer Carol Littke Nurse Practitioner 6326 Constitution Dr, Fort Wayne, IN 46804-1518 2015-10-28
1275956054 Andrea N Lahrman Nurse Practitioner 11123 Parkview Plaza Dr Ste 106, Fort Wayne, IN 46845-1707 2014-01-29
1417213729 Laura Beth Baker Nurse Practitioner 5750 Falls Drive, Fort Wayne, IN 46804-7147 2012-04-11
1447572441 Kathryn L Smith Nurse Practitioner 11104 Parkview Circle Dr Ste 20, Fort Wayne, IN 46845-1733 2010-02-18
1316180144 Braden M Butterfield Mckinley Nurse Practitioner 2101 E Coliseum Blvd Rm 234, Fort Wayne, IN 46805-1445 2009-04-09
Find all providers in FORT WAYNE

Competitor

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City FORT WAYNE
Zip Code 46804

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Dataset Information

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.

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