MRS. DESIRAE MARIE SHEPPARD (NPI# 1932735297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932735297 |
| Entity Type | Individual |
| Full Name | MRS. DESIRAE MARIE SHEPPARD |
| Credential | PA |
| Practice Address |
1304 Sharptail Trl Clarksville TN 37042-8113 |
| Practice Telephone | 9313027099 |
| Mailing Telephone | 9313027709 |
| Enumeration Date | 2020-03-19 |
| Last Update Date | 2020-03-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1304 SHARPTAIL TRL |
| City | CLARKSVILLE |
| State | TN |
| Zip Code | 37042-8113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275186603 | Elizabeth Louise Eckart | Physical Therapist | 305 Rue Le Mans Dr., Clarksville, TN 37042 | 2019-07-24 |
| 1740844802 | Lana Sperry | Speech-Language Pathologist | 1255 Northfield Drive, Clarksville, TN 37042 | 2019-04-24 |
| 1497263941 | Cumberland Surgical Arts and Associates, Pllc | Oral & Maxillofacial Surgery | 1275 Parkway Place, Clarksville, TN 37042 | 2018-01-18 |
| 1336590058 | Bobby Bonner Jr. | Case Manager/Care Coordinator | 1697putnum Drive, Clarksville, TN 37042 | 2016-06-23 |
| 1184078040 | Sheena Williams | Counselor | 901 Martin St., Clarksville, TN 37042 | 2016-04-18 |
| 1568847069 | Sara Hyun Seung Oh | Dentist | 1692 Fort Campbell Blvd, Clarksville, TN 37042 | 2015-07-25 |
| 1346621323 | Rocky Mountain Holdings, LLC | Ambulance | 248 Outlaw Field Rd, Clarksville, TN 37042 | 2015-06-15 |
| 1528448974 | Tennessee State Veterans Home Board | Skilled Nursing Facility | 250 Arrowood Drive, Clarksville, TN 37042 | 2015-06-01 |
| 1851709331 | Brent Michael Hazlewood | Dentist | 466 Tiny Town Rd, Ste A, Clarksville, TN 37042 | 2014-07-28 |
| 1619304318 | Regina G Goldwire | Nurse Practitioner | 351 Dover Road, North Clarksville Medical Center, Clarksville, TN 37042 | 2013-09-26 |
| Find all providers in zip 37042 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407472079 | Melissa Perkins | Physician Assistant | 2080 Madison St, Clarksville, TN 37043-5087 | 2020-06-19 |
| 1669011094 | Jasmine Adams | Physician Assistant | 609 Rocky Hill Rd, Clarksville, TN 37042-6019 | 2020-01-02 |
| 1700369394 | Michael English | Physician Assistant | 1871 Rains Rd, Clarksville, TN 37042-1966 | 2018-09-11 |
| 1770078040 | Novus Behavioral Health | Physician Assistant | 130 Hillcrest Dr Ste 213, Clarksville, TN 37043-5083 | 2018-06-28 |
| 1619462546 | Cody R Thomas | Physician Assistant | 1060 W Creek Coyote Trl Apt 1302, Clarksville, TN 37042-8266 | 2018-06-23 |
| 1447753314 | Vincent Michael Proctor | Physician Assistant | 775f Weatherly Dr, Clarksville, TN 37043-8942 | 2018-03-16 |
| 1124539580 | Lauren Michelle Huddleston | Physician Assistant | 1524 Madison St, Clarksville, TN 37040-3846 | 2017-10-12 |
| 1043720287 | Kathryn Fitzpatrick Rodgers | Physician Assistant | 5403 Talon Ct, Clarksville, MD 21029-1142 | 2017-10-02 |
| 1194243709 | Christina Joanne O'hara-rodriguez | Physician Assistant | 803 River Run, Clarksville, TN 37043-6042 | 2017-09-03 |
| 1891189544 | Michelle Ramos | Physician Assistant | 621 Fallbrook Ln, Clarksville, TN 37040-5539 | 2015-03-20 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 37042 |
Please comment or provide details below to improve the information on MRS. DESIRAE MARIE 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.