Dana Lauren Shepherd, MS, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

8582 Issued in NC

Practice address

2814 Gray Fox Road
Pediatric Boulevard
Monroe, NC 28110

Phone

(704) 821-0568

NPI assigned

Apr 22, 2009

Last updated

Feb 3, 2015By the provider in NPPES

Sex

Female

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

Master of Science

State licenses

Practice roles

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.

• Pediatric Boulevard, PLLC

  • Speech-Language Pathologist
  • Monroe, NC
  • NPI 1114233590
  NPD (past)

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

{
    "created_epoch": "1240358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422921600000",
    "number": "1043454036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3021 SAGEBRUSH BND",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281106349",
            "telephone_number": "704-941-0995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2814 GRAY FOX ROAD",
            "address_2": "PEDIATRIC BOULEVARD",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "28110",
            "telephone_number": "704-821-0568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "DANA",
        "middle_name": "LAUREN",
        "name_prefix": "Miss",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-22",
        "last_updated": "2015-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NC",
            "license": "8582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Michael Shaver, PHARMD
• Kate Shaw, PHARM D
• Kathryn Shaw, MD
• Kimberly Nichole Shearin
• Scott Mitchell Sheflin, MD
• Latoya I Sheppard
• Elizabeth Landru Sherrill, PA
• Shoreline Partners LLC (Home Instead Senior Care of Union)
• Katherine Delia Shue-McGuffin, DNP, MSN, FNP-C
• Jackie Smith Sides

• Pediatric Occupational Therapist in Monroe, NC
• Providers in Monroe, NC by specialty
• Pediatric Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2015; 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.