Tanya Irene Sheppard, C-NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

COA.19234-NP Issued in OH

Practice address

7215 Old Oak Blvd Ste A420
Cleveland, OH 44130

Phone

(440) 895-5058

Fax

(440) 816-6999

NPI assigned

Jun 20, 2016

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

Other names 1

• Mrs. Tanya Irene Makowski Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1184074205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24651 CENTER RIDGE RD",
            "address_2": "SUITE 350",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455635",
            "telephone_number": "440-895-5056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7215 OLD OAK BLVD STE A420",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44130",
            "telephone_number": "440-895-5058",
            "fax_number": "440-816-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPPARD",
        "first_name": "TANYA",
        "middle_name": "IRENE",
        "name_prefix": "Mrs.",
        "credential": "C-NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-20",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.19234-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0175501",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANYA",
            "last_name": "MAKOWSKI",
            "middle_name": "IRENE",
            "prefix": "MRS.",
            "credential": "C-NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Leah Johanna Shepherd
• Tiffany Rae Shepherd
• Amanda Shepka
• Erin Sheplavy
• Emily Lynn Sheppard, CCC-SLP
• Robert Sherba
• Rina Shere, CHAPLAIN
• James H Sherer, P.A.
• Pamela L Sherer, C.R.N.A.
• Sherice Nicole Transportation

• All providers in Cleveland, OH
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; 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.