Individual provider Active NPI

Christina Sheppard, ARNP

  • Nurse Practitioner
  • Ashland, KY
National Provider Identifier
1215021258
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4638P Issued in KY
Practice address
2920 Carter Ave
Ashland, KY 41101-1943
Phone
(606) 408-7337
Fax
(606) 326-9596
NPI assigned
Oct 3, 2006
Last updated
Oct 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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 4638P KY Primary

Addresses

Primary practice location

2920 Carter Ave
Ashland, KY 41101-1943

Mailing address

PO Box 1595
Ashland, KY 41105-1595
Phone (606) 408-6200

Other identifiers 2

IdentifierTypeStateIssuer
2693116MedicaidOH
78017175MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20060105000787 KY Practitioner - Nurse Practitioner 2062435944 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4638PKYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ashland Hospital Corporation Current Accepting new patients
Ashland Hospital Corporation Nurse Practitioner CurrentSince Jul 4, 2020 Accepting new patients
Ashland Hospital Corporation Nurse Practitioner CurrentSince Jul 4, 2020 Accepting new patients

Locations

10650 US Route 60
Ashland, KY 41102
Phone (606) 408-6301

12100 Princeland Spur
Ashland, KY 41102
Phone (606) 928-2963

2028 Winchester Ave
Ashland, KY 41101
Phone (606) 326-9001

2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560

2910 Carter Ave
Ashland, KY 41101
Phone (606) 324-7337

105A State Highway 1947
Grayson, KY 41143
Phone (606) 474-7892

Interoperability endpoints

  • Direct secure messaging: csheppard1115@direct.kdhealth.us

Organizations & group practices 3

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1215021258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1595",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411051595",
            "telephone_number": "606-408-6200",
            "fax_number": "606-408-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 CARTER AVE",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411011943",
            "telephone_number": "606-408-7337",
            "fax_number": "606-326-9596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPPARD",
        "first_name": "CHRISTINA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "4638P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2693116",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78017175",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

Verify at the official NPI Registry.