Individual provider Active NPI

Heather Marie Sheppard, FNP-C

  • Nurse Practitioner
  • Hawkins, TX
National Provider Identifier
1104209196
Registry record updated Jan 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP128434 Issued in TX
Practice address
5321 S FM 14
Hawkins, TX 75765-4839
Phone
(903) 769-2990
NPI assigned
Jul 8, 2015
Last updated
Jan 25, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP128434 TX Primary

Addresses

Primary practice location

5321 S FM 14
Hawkins, TX 75765-4839

Mailing address

PO Box 846098
Dallas, TX 75284-6098
Phone (903) 324-6400

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150915003128 TX Practitioner - Nurse Practitioner 0749597292 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP128434TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Oct 10, 2016 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Jul 24, 2015 Accepting new patients
Healthtexas Provider Network CurrentSince Oct 10, 2016 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Jul 24, 2015 Accepting new patients
As Medical of New York PC Past Accepting new patients
Marsha Medical Group of Ca, P.C. Past Accepting new patients

Locations

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

5321 S FM 14
Holly Lake Ranch, TX 75765
Phone (903) 769-2990

3203 S Main St
Lindale, TX 75771
Phone (903) 266-4000

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Interoperability endpoints

  • Direct secure messaging: heather.sheppard.1@22378.direct.athenahealth.com
  • Direct secure messaging: heather.sheppard.p1@direct.ppgt.nextgenshare.com
  • Direct secure messaging: hsheppard109804@direct.tmfhs.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1436313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453680000000",
    "number": "1104209196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 846098",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752846098",
            "telephone_number": "903-324-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5321 S FM 14",
            "city": "HAWKINS",
            "state": "TX",
            "postal_code": "757654839",
            "telephone_number": "903-769-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPPARD",
        "first_name": "HEATHER",
        "middle_name": "MARIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-08",
        "last_updated": "2016-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP128434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawkins, TX

Sources for this page

Verify at the official NPI Registry.