Michelle Shepherd, RN

Primary specialty

Child & Adolescent Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0807X

License

6683081-3102 Issued in UT

Practice address

4501 N University Ave
Provo, UT 84604-5504

Phone

(801) 932-2951

NPI assigned

Feb 20, 2021

Last updated

Feb 20, 2021By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1613779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613779200000",
    "number": "1215520234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1559 S BRIDLE PATH LOOP",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840435006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 N UNIVERSITY AVE",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846045504",
            "telephone_number": "801-932-2951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "MICHELLE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-20",
        "last_updated": "2021-02-20",
        "certification_date": "2021-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "UT",
            "license": "6683081-3102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arrie Devlyn Shelnutt
• Alisha Ann Shelton, PHARMD
• Ashlee Marie Shelton
• Trevor Shelton, M.D.
• Erin Marie Shepard, LCSW
• Robin Paul Shepley, LMFT
• Nathan Hunter Sherman, DMD
• Michelle Sherwin, CPM, LDEM
• Allison McKay Shiffler, CSW
• Shiloh Mental Health PLLC

• Child & Adolescent Psychiatric/Mental Health Registered Nurse in Provo, UT
• Providers in Provo, UT by specialty
• Child & Adolescent Psychiatric/Mental Health Registered Nurse in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2021; 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.