Grace Shepherd

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Practice address

1668 Bryant Ave
Bronx, NY 10460-5301

Phone

(646) 554-9814

NPI assigned

Dec 27, 2021

Last updated

Dec 27, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1640563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640563200000",
    "number": "1063172492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1668 BRYANT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104605301",
            "telephone_number": "646-554-9814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1668 BRYANT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104605301",
            "telephone_number": "646-554-9814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "GRACE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-27",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kanchan Shenoy, DPT
• Roopalekha Shenoy, M.D
• Benjamin Shepard, P.A.-C
• Sydney Julia Bian Shepard, LCSW
• Alethea K Shepardson, RNP
• Regina Shepherd
• Dja-Maa Shepp, MS, RD
• Jacqueline M Sheppard
• Jeremy Sheppard, DPT
• Tiffany Sheppard

• Early Intervention Provider Agency in Bronx, NY
• Providers in Bronx, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; 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.