Cassandra Latasha Shepard, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

902006 Issued in MS

Practice address

140 North St
Cleveland, MS 38732-2744

Phone

(662) 545-4674

Fax

(662) 545-4715

NPI assigned

Sep 1, 2017

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

Enrolled in MS

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ultra Health LLCGroup PAC ID 6800186602, 151 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Sunflower Medical Center Cah Hospital, Ruleville, MS, CCN 251318
• Bolivar Medical Center Hospital, Cleveland, MS, CCN 250093

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14578/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/19392/brand/1/csg/1/fhir/r4
• Direct secure messaging: cassandra.shepard.1@19392.direct.athenahealth.com

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• East-End Family Medical Clinic, LLC

  • Rural Health Clinic/Center
  • Cleveland, MS
  • NPI 1780450619

  5% Or Greater Direct Ownership Interest, 5% Or Greater Indirect Ownership Interest, W-2 Managing Employee

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• East-End Family Medical Clinic, LLC

  • Primary Care Clinic/Center
  • Cleveland, MS
  • NPI 1487118733
  Medicare reassignment NPD Authorized official
• Ultra Health LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Nashville, TN
  • NPI 1922469543

  MS, Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  MS, Nurse Practitioner

  Medicare reassignment NPD
• East-End Family Medical Clinic, LLC

  • Rural Health Clinic/Center
  • Cleveland, MS
  • NPI 1780450619
  NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• North Sunflower Medical Center

  • Critical Access Hospital
  • Ruleville, MS
  • NPI 1508913609
  Care Compare affiliation
• PHC-Cleveland LLC

  • General Acute Care Hospital
  • Cleveland, MS
  • NPI 1457321036
  Care Compare affiliation

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

{
    "created_epoch": "1504224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1144748898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 N BAYOU RD",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387329723",
            "telephone_number": "662-721-8036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 NORTH ST",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387322744",
            "telephone_number": "662-545-4674",
            "fax_number": "662-545-4715"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1108 Church St",
            "address_purpose": "LOCATION",
            "city": "Shelby",
            "state": "MS",
            "postal_code": "387742200",
            "country_code": "US",
            "telephone_number": "731-394-1145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEPARD",
        "first_name": "CASSANDRA",
        "middle_name": "LATASHA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-01",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "902006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian D. Schunn, M.D.
• Screven County Hospital LLC
• Serenity Adult Day Care
• Serenity Hospice
• Jack Bittell Sewell, M.D.
• Covonda Lacraye Shepard
• Sarah Shepherd, LPC
• Alexander Lou Shing, DMD
• Shipp Family Eyecare, PLLC
• Jasmine Donnette Shipp, O.D.

• Nurse Practitioner in Cleveland, MS
• Providers in Cleveland, MS by specialty
• Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.