Craig Sheppard, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

26NR16890300 Issued in NJ

Practice address

7 Industrial Rd
Pequannock, NJ 07440-1901

Phone

(973) 839-2521

Fax

(973) 686-2258

NPI assigned

Jul 18, 2016

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468800000000",
    "number": "1013360700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 INDUSTRIAL RD",
            "city": "PEQUANNOCK",
            "state": "NJ",
            "postal_code": "074401901",
            "telephone_number": "973-839-2521",
            "fax_number": "973-686-2258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 INDUSTRIAL RD",
            "city": "PEQUANNOCK",
            "state": "NJ",
            "postal_code": "074401901",
            "telephone_number": "973-839-2521",
            "fax_number": "973-686-2258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPPARD",
        "first_name": "CRAIG",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-18",
        "last_updated": "2016-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR16890300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miguel Angel Rivera Jr., PTA
• Anwar Salah
• Kari Scimanico
• Senior Concerns a NJ Nonprofit Corporation
• Shreyans S Shah, D.M.D
• Kristen Theresa Snook
• Starr Chiropractic LLC
• Julie Elizabeth Stasiak, DPT
• The Parent Train
• Stephanie Treuer, PT, DPT

• Registered Nurse in Pequannock, NJ
• Providers in Pequannock, NJ by specialty
• Registered Nurse in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.