Heather Marie Shepherd, CMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

Practice address

328 Heritage PL Ste a
Faribault, MN 55021-5251

Phone

(507) 332-0202

NPI assigned

Feb 8, 2010

Sex

Female

Sole proprietor

Yes

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

Practice roles

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.

• Minnesota Health and Wellness Clinics Inc.

  • Chiropractor
  • Faribault, MN
  • NPI 1942303912
  NPD (past)

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

{
    "created_epoch": "1265587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265587200000",
    "number": "1194057679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 ROSE DR",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550211819",
            "telephone_number": "507-330-1347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 HERITAGE PL STE A",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550215251",
            "telephone_number": "507-332-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "HEATHER",
        "middle_name": "MARIE",
        "credential": "CMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-08",
        "last_updated": "2010-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Selly-Navarro, D.C., R.D.
• Amy Lee Selly, CNP
• Serenity Home Care, LLC
• Michael Seryakov, M.D.
• Marisa Luellamae Shackleford
• Robert Warren Shepley, M.D.
• Geri Shetka, LPCC
• Shoptikal LLC
• Bimala Shrestha, DNP,APRN,CNP
• Maria Kathleen Shue, DO

• Massage Therapist in Faribault, MN
• Providers in Faribault, MN by specialty
• Massage Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2010; 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.