Individual provider Active NPI

Victoria L Sheppard-Labrecque, M.D.

  • Developmental - Behavioral Pediatrics Physician
  • Scottsdale, AZ
National Provider Identifier
1235109612
Registry record updated Jan 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X
License
56454 Issued in AZ
Practice address
4848 E Cactus Rd Ste 940
Scottsdale, AZ 85254-4164
Phone
(480) 443-0050
NPI assigned
Jan 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental - Behavioral Pediatrics Physician 2080P0006X 56454 AZ Primary

Addresses

Primary practice location

4848 E Cactus Rd Ste 940
Scottsdale, AZ 85254-4164

Mailing address

4848 E Cactus Rd Ste 940
Scottsdale, AZ 85254-4164

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211213000810 AZ Practitioner - Pediatric Medicine 9830157049 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Children's Hospital Pediatrics CurrentSince Sep 9, 2021 Accepting new patients
Phoenix Children's Medical Group CurrentSince Sep 9, 2021 Accepting new patients

Locations

3420 S Mercy Rd
Ste 205
Gilbert, AZ 85297
Phone (602) 933-3033

3420 S Mercy Rd
Ste 121
Gilbert, AZ 85297
Phone (602) 933-2263

1919 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 933-0777

3200 E Camelback Rd
Ste 250
Phoenix, AZ 85018
Phone (602) 933-1814

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578441600000",
    "number": "1235109612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4848 E CACTUS RD STE 940",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852544164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4848 E CACTUS RD STE 940",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852544164",
            "telephone_number": "480-443-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPPARD-LABRECQUE",
        "first_name": "VICTORIA",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-26",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "AZ",
            "license": "56454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.