Individual provider Active NPI

Linda Sheppard-Reece, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Pembroke, MA
National Provider Identifier
1023495538
Registry record updated Apr 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
281986 Issued in MA
Practice address
20 Winter St
Pembroke, MA 02359-4965
Phone
(781) 312-1393
Fax
(781) 829-6902
NPI assigned
May 4, 2015
Last updated
Apr 26, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 281986 MA Primary
General Practice Registered Nurse 163WG0000X 281986 MA

Addresses

Primary practice location

20 Winter St
Pembroke, MA 02359-4965

Mailing address

20 Winter St
Pembroke, MA 02359-4965
Phone (781) 312-1393

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151230000171 MA Practitioner - Nurse Practitioner 5395047898 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southeastern Psychiatric AssocGroup PAC ID 4486696614, 15 clinicians

Practice addresses (Care Compare)

1093 N Main St
Randolph, MA 02368-2100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
281986MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Health Services, LLC CurrentSince Nov 1, 2015 Accepting new patients
South of Boston Psychiatric & Emotional Support LLC Psychiatric/Mental Health CurrentSince Aug 1, 2022 Accepting new patients
Southeastern Psychiatric Assoc CurrentSince Nov 29, 2017 Accepting new patients
Uhs of Westwood Pembroke Inc Past Accepting new patients

Locations

20 Winter St
Ste 1
Pembroke, MA 02359
Phone (781) 312-1393

1093 N Main St
Ste 1B
Randolph, MA 02368
Phone (781) 963-7775

30 Taunton Grn
Ste 5
Taunton, MA 02780
Phone (508) 545-7400

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1430697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493164800000",
    "number": "1023495538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 WINTER ST",
            "city": "PEMBROKE",
            "state": "MA",
            "postal_code": "023594965",
            "telephone_number": "781-312-1393",
            "fax_number": "781-829-6902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 WINTER ST",
            "city": "PEMBROKE",
            "state": "MA",
            "postal_code": "023594965",
            "telephone_number": "781-312-1393",
            "fax_number": "781-829-6902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPPARD-REECE",
        "first_name": "LINDA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-04",
        "last_updated": "2017-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "281986",
            "primary": true
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "MA",
            "license": "281986",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke, MA

Sources for this page

Verify at the official NPI Registry.