Individual provider Active NPI

Jocelyn Shepard, FNP

  • Family Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1245656164
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
775172 Issued in TX
Practice address
30 Maryland PLZ FL 3
Saint Louis, MO 63108-1556
Phone
(314) 720-1644
NPI assigned
Mar 17, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 775172 TX Primary

Addresses

Primary practice location

30 Maryland PLZ FL 3
Saint Louis, MO 63108-1556

Mailing address

30 Maryland PLZ FL 3
Saint Louis, MO 63108-1556
Phone (314) 720-1644

Other practice location 1

236 5th Ave Fl 4
New York, NY 10001-7953
Phone (866) 351-5907

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
775172TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cloud Health Medical Group, P.a. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jocelyn.hayes@337577483108356.direct.elationemr.com
  • Direct secure messaging: jocelyn.hayes-shepard.1@30093.direct.athenahealth.com

Organizations & group practices 1

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": "1395014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1245656164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 MARYLAND PLZ FL 3",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631081556",
            "telephone_number": "314-720-1644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MARYLAND PLZ FL 3",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631081556",
            "telephone_number": "314-720-1644"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "236 5th Ave Fl 4",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100017953",
            "country_code": "US",
            "telephone_number": "866-351-5907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEPARD",
        "first_name": "JOCELYN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-17",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "775172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; 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.