Active NPI
Avonna Sheppard
- Clinical Social Worker
- Pikeville, KY
National Provider Identifier
1023769783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 147 Sycamore St
Pikeville, KY 41501-9118 - Phone
- (606) 218-5250
- NPI assigned
- Jan 14, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
147 Sycamore St
Pikeville, KY 41501-9118
Mailing address
PO Box 32123
Louisville, KY 40232-2123
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642118400000",
"number": "1023769783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 32123",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402322123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "147 SYCAMORE ST",
"city": "PIKEVILLE",
"state": "KY",
"postal_code": "415019118",
"telephone_number": "606-218-5250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEPPARD",
"first_name": "AVONNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-14",
"last_updated": "2022-01-14",
"certification_date": "2022-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pikeville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.