Laquita Ann Shepherd, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

H4698 Issued in TX

Practice address

1010 N Belt Line Rd Ste 105
Mesquite, TX 75149

Phone

(972) 686-1234

Fax

(972) 686-9000

NPI assigned

Jan 30, 2006

Last updated

May 1, 2019By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of Texas Southwestern Medical School at Dallas, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elite Interns PLLCGroup PAC ID 4880968353, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HHHFBD/Endpoint/HHHFBD
• FHIR API: https://fhir4.healow.com/fhir/r4/JJDDDD/Endpoint/JJDDDD

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.

• Elite Interns PLLC

  • Primary Care Clinic/Center
  • Dallas, TX
  • NPI 1073968517
  Medicare reassignment Care Compare group NPD
• Laquita a Shepherd, MD PLLC

  dba Novella Family Medical

  • Family Medicine Physician
  • Mesquite, TX
  • NPI 1710498043
  Authorized official Same address or phone
• Carefirst Medical Group

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1699243584
  NPD (past)
• Medspring of Texas, PA

  dba MedSpring

  • Urgent Care Clinic/Center
  • Austin, TX
  • NPI 1811286354
  NPD (past)

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556668800000",
    "number": "1063483998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 N BELT LINE RD STE 105",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751491770",
            "telephone_number": "972-686-1234",
            "fax_number": "972-686-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 N BELT LINE RD STE 105",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "75149",
            "telephone_number": "972-686-1234",
            "fax_number": "972-686-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "610 E Jefferson Blvd",
            "address_2": "STE #100",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752032750",
            "country_code": "US",
            "telephone_number": "214-932-6189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "LAQUITA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2019-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H4698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "8DF664",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Latonja Shaw, APRN
• Adam Shed, PTA
• Jakiron Sheffield - Jones
• Angela Shen, DDS
• Shepherd Lane Dental Associates,P.C
• Shi Texas LLC
• Shibli Family Medicine and Obesity Clinic PLLC
• Adeel Basit Shibli, MD
• Urooj Shibli, MD
• Emawayesh W Shinge, APRN

• Family Medicine Physician in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.