ZACHARY GORDON SHEPHERD (NPI# 1962931832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962931832 |
| Entity Type | Individual |
| Full Name | ZACHARY GORDON SHEPHERD |
| Credential | ATC |
| Practice Address |
125 Route 340 Sparkill NY 10976-1041 |
| Practice Telephone | 6515642194 |
| Mailing Telephone | 6515642194 |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 711 Circle Dr, Wabasha, MN 559811776 | (651) 564-2194 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053656868 | Zachary Shepherd | Counselor | 1430 Willow Ln, Westpark C61-2, N Wilkesboro, NC 28659-3551 | 2012-12-05 |
| 1689934242 | Zachary Joshua Shepherd | Internal Medicine | 750 E Adams St, Syracuse, NY 13210-2342 | 2012-05-16 |
| Street Address |
125 ROUTE 340 |
| City | SPARKILL |
| State | NY |
| Zip Code | 10976-1041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528101268 | Lori Anne Rahaim | Specialist/Technologist | 125 Route 340, Sparkill, NY 10976-1041 | 2007-02-14 |
| 1578020657 | Devon Engle | Specialist/Technologist | 125 Route 340, Sparkill, NY 10976-1041 | 2019-02-26 |
| 1356827687 | Argjend Emini | Specialist/Technologist | 125 Route 340, Sparkill, NY 10976-1041 | 2018-07-19 |
| 1366935710 | Melanie Sulich | Specialist/Technologist | 125 Route 340, Sparkill, NY 10976-1041 | 2018-06-11 |
| 1508366915 | Matthew D. Mcfadden | Specialist/Technologist | 125 Route 340, Sparkill, NY 10976-1041 | 2018-02-13 |
| 1578071130 | William Robert Varasconi | Specialist/Technologist | 125 Route 340, Sparkill, NY 10976-1041 | 2018-01-17 |
| 1366965451 | Katherine Rose Zoda | Emergency Medical Technician, Basic | 125 Route 340, Sparkill, NY 10976-1041 | 2017-07-20 |
| 1083144935 | Katherine Marie Crawford | Specialist/Technologist | 125 Route 340, Sparkill, NY 10976-1041 | 2017-06-14 |
| 1568998292 | Brittany Rose Iaiennaro | Specialist/Technologist | 125 Route 340, Sparkill, NY 10976-1041 | 2017-05-01 |
| 1891235354 | Louis Muggeo | Psychologist | 125 Route 340, Sparkill, NY 10976-1041 | 2017-03-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831256932 | Muriel Morgan | Emergency Medical Technician, Basic | 617 Main St., Sparkill, NY 10976-0247 | 2007-01-02 |
| 1457376840 | Thomas Williams | Dentist | 609 Main St., Sparkill, NY 10976-0327 | 2006-07-13 |
| 1790769271 | Marilyn Eleanor Dunn | Nurse Practitioner | 175 Route 340, Medical Rm 312, Sparkill, NY 10976-1041 | 2005-11-30 |
| 1154631166 | Mary J Buckley | Nurse Practitioner | 175 Route 340, Dominican Convent, Sparkill, NY 10976-1041 | 2010-10-12 |
| 1578735437 | Dominican Convent of Our Lady of The Rosary | Nurse Practitioner | 175 Route 340, Medical Office Rm. 312, Sparkill, NY 10976-1041 | 2008-03-31 |
| 1235473521 | Iris L Ruelas | Social Worker | 8 Knight Ct, Sparkill, NY 10976-1054 | 2012-11-27 |
| 1932395357 | Despina Vougioukas-tsekenis | Counselor | 13 Hagan Ct, Sparkill, NY 10976-1112 | 2007-09-19 |
| 1205144532 | Lolita Zacarias | Registered Nurse | 8 Tammie Hill Rd, Sparkill, NY 10976-1118 | 2010-09-21 |
| 1710189048 | Karen M Curley | Dietitian, Registered | 355 Route 340, Sparkill, NY 10976-1230 | 2007-05-31 |
| 1447496690 | Kathryn Susan Minnerop | Physical Therapist | 80 Rockland Rd, Sparkill, NY 10976-1302 | 2008-12-17 |
| Find all providers in zip 10976 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528101268 | Lori Anne Rahaim | Specialist/Technologist | 125 Route 340, Sparkill, NY 10976-1041 | 2007-02-14 |
| 1578020657 | Devon Engle | Specialist/Technologist | 125 Route 340, Sparkill, NY 10976-1041 | 2019-02-26 |
| 1356827687 | Argjend Emini | Specialist/Technologist | 125 Route 340, Sparkill, NY 10976-1041 | 2018-07-19 |
| 1366935710 | Melanie Sulich | Specialist/Technologist | 125 Route 340, Sparkill, NY 10976-1041 | 2018-06-11 |
| 1508366915 | Matthew D. Mcfadden | Specialist/Technologist | 125 Route 340, Sparkill, NY 10976-1041 | 2018-02-13 |
| 1578071130 | William Robert Varasconi | Specialist/Technologist | 125 Route 340, Sparkill, NY 10976-1041 | 2018-01-17 |
| 1083144935 | Katherine Marie Crawford | Specialist/Technologist | 125 Route 340, Sparkill, NY 10976-1041 | 2017-06-14 |
| 1568998292 | Brittany Rose Iaiennaro | Specialist/Technologist | 125 Route 340, Sparkill, NY 10976-1041 | 2017-05-01 |
| 1447702436 | Montanna Casey | Specialist/Technologist | 125 Route 340, Sparkill, NY 10976-1041 | 2016-10-26 |
| 1144694555 | Nicole Spencer | Specialist/Technologist | 125 Route 340, Sparkill, NY 10976-1050 | 2015-11-23 |
| Find all providers in SPARKILL | ||||
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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.