Lydia Shepherd

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

026288 Issued in NY

Practice address

307 International Cir Ste 100
Hunt Valley, MD 21030-1387

Phone

(513) 268-4924

NPI assigned

Nov 19, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1637280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637280000000",
    "number": "1235896705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 INTERNATIONAL CIR STE 100",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210301387",
            "telephone_number": "513-268-4924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 INTERNATIONAL CIR STE 100",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210301387",
            "telephone_number": "513-268-4924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "LYDIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-19",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "026288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mvence@affinityrehab.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "307 International Cir Ste 100",
            "city": "Hunt Valley",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210301387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Deborah Serowik
• Markia Shade
• Shanice Shade
• Karen Shaw
• Iaona Shemondy
• Sheppard Pratt Health System Inc.
• Sheppard Pratt Health System, Inc.
• Michelle Shevtsova
• Tiffany Shew, COTA/L
• Julianna Shleifer, MS, CCC-SLP

• Pediatric Occupational Therapist in Hunt Valley, MD
• Providers in Hunt Valley, MD by specialty
• Pediatric Occupational Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.