Marsha Dannielle Sheppard

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

63541 Issued in WV

Practice address

804 Industrial Park Rd
Maxwelton, WV 24957-8066

Phone

(304) 497-0500

NPI assigned

Nov 14, 2024

Last updated

Nov 14, 2024By 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

State licenses

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

{
    "created_epoch": "1731542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1083438196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 INDUSTRIAL PARK RD",
            "city": "MAXWELTON",
            "state": "WV",
            "postal_code": "249578066",
            "telephone_number": "304-497-0500",
            "fax_number": "304-497-2805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 INDUSTRIAL PARK RD",
            "city": "MAXWELTON",
            "state": "WV",
            "postal_code": "249578066",
            "telephone_number": "304-497-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPPARD",
        "first_name": "MARSHA",
        "middle_name": "DANNIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-14",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WV",
            "license": "63541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seneca Health Services, Inc.
• Seneca Health Services, Inc.
• Seneca Health Services, Inc.
• Seneca Health Services, Inc.
• George Timothy Sheppard
• Mary Ann Shires, LCSW
• Vickie L Shuff, LGSW
• Christina Sims
• Demmi Smallwood, RDH
• Melissa Dawn Smith, PRSS, CASE MANAGER

• Registered Nurse in Maxwelton, WV
• Providers in Maxwelton, WV by specialty
• Registered Nurse in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; 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.