Individual provider Active NPI

Appolonia Dawn Sheppard

  • Homemaker
  • Pemaquid, ME
National Provider Identifier
1104340579
Registry record updated Jul 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
Practice address
2152 Bristol Rd
Pemaquid, ME 04558-4008
Phone
(207) 350-6087
Fax
(207) 350-7258
NPI assigned
Jul 27, 2017
Last updated
Jul 27, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Homemaker 376J00000X ME Primary

Addresses

Primary practice location

2152 Bristol Rd
Pemaquid, ME 04558-4008

Mailing address

2152 Bristol Rd
Pemaquid, ME 04558-4008
Phone (207) 350-7258

Other identifiers 1

IdentifierTypeStateIssuer
2172081600004OtherMEIN HOME CARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Everything Elderly Caregiving CurrentSince Jul 24, 2022 Accepting new patients

Organizations & group practices 1

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": "1501113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501113600000",
    "number": "1104340579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2152 BRISTOL RD",
            "city": "PEMAQUID",
            "state": "ME",
            "postal_code": "045584008",
            "telephone_number": "207-350-7258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2152 BRISTOL RD",
            "city": "PEMAQUID",
            "state": "ME",
            "postal_code": "045584008",
            "telephone_number": "207-350-6087",
            "fax_number": "207-350-7258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPPARD",
        "first_name": "APPOLONIA",
        "middle_name": "DAWN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-27",
        "last_updated": "2017-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "ME",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IN HOME CARE",
            "identifier": "2172081600004",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pemaquid, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2017; 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.