Individual provider Active NPI

Anthony Shepherd, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Glen Burnie, MD
National Provider Identifier
1255128120
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R248663 Issued in MD
Practice address
7671 Quarterfield Rd Ste 301
Glen Burnie, MD 21061-4525
Phone
(240) 617-1399
Fax
(410) 210-4126
NPI assigned
Apr 23, 2025
Last updated
Oct 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R248663 MD Primary

Addresses

Primary practice location

7671 Quarterfield Rd Ste 301
Glen Burnie, MD 21061-4525

Mailing address

500 Ross St # 154-0455
Pittsburgh, PA 15262-0001
Phone (703) 841-1290

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250612001711 MD Practitioner - Nurse Practitioner 8325558802 Reassigns benefits to 1 organization
I20250612002170 DC Practitioner - Nurse Practitioner 8325558802 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Columbia Associates in Psychiatry PCGroup PAC ID 7113165739, 127 clinicians

Practice addresses (Care Compare)

7671 Quarterfield Rd
Suite 301
Glen Burnie, MD 21061-4525
Phone (410) 457-3041

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Associates in Psychiatry PC Psychiatric/Mental Health CurrentSince Jun 5, 2025 Accepting new patients

Locations

10400 Little Patuxent Pkwy
Columbia, MD 21044
Phone (410) 210-4098

7671 Quarterfield Rd
Ste 301
Glen Burnie, MD 21061
Phone (410) 457-3041

500 Ross St
Pittsburgh, PA 15262
Phone (844) 362-6808

2501 N Glebe Rd
Ste 303
Arlington, VA 22207
Phone (703) 485-9519

2960 Sleepy Hollow Rd
Falls Church, VA 22044
Phone (703) 304-7764

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, 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": "1745366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1255128120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 ROSS ST # 154-0455",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152620001",
            "telephone_number": "703-841-1290",
            "fax_number": "410-210-4126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7671 QUARTERFIELD RD STE 301",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210614525",
            "telephone_number": "240-617-1399",
            "fax_number": "410-210-4126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "ANTHONY",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-23",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R248663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

Verify at the official NPI Registry.