Active NPI
Keytonia S Shepard
- Case Manager/Care Coordinator
- Memphis, TN
National Provider Identifier
1043358575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- 8388
- Practice address
- 2150 Whitney Ave
Memphis, TN 38127-6662 - Phone
- (901) 353-5440
- NPI assigned
- Feb 5, 2007
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 8388 | TN | Primary |
Addresses
Primary practice location
2150 Whitney Ave
Memphis, TN 38127-6662
Mailing address
2150 Whitney Ave
Memphis, TN 38127-6662
Phone (901) 353-5440
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8388 | TN | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311206400000",
"number": "1043358575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2150 WHITNEY AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381276662",
"telephone_number": "901-353-5440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2150 WHITNEY AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381276662",
"telephone_number": "901-353-5440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEPARD",
"first_name": "KEYTONIA",
"middle_name": "S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-05",
"last_updated": "2011-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "TN",
"license": "8388",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.