Active NPI
Melissa A. Shepard, RN, BSN
- Registered Nurse
- Auburn, MI
National Provider Identifier
1295979862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 4704177203
- Practice address
- 208 Weber St
Auburn, MI 48611-9487 - Phone
- (989) 266-3167
- NPI assigned
- Apr 27, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704177203 | MI | Primary |
Addresses
Primary practice location
208 Weber St
Auburn, MI 48611-9487
Mailing address
1700 S Huron Rd
Kawkawlin, MI 48631-9449
Phone (989) 992-1519
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)
- Not enrolled
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704177203 | MI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240790400000",
"number": "1295979862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 S HURON RD",
"city": "KAWKAWLIN",
"state": "MI",
"postal_code": "486319449",
"telephone_number": "989-992-1519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 WEBER ST",
"city": "AUBURN",
"state": "MI",
"postal_code": "486119487",
"telephone_number": "989-266-3167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEPARD",
"first_name": "MELISSA",
"middle_name": "A.",
"name_prefix": "Mrs.",
"credential": "RN, BSN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-27",
"last_updated": "2009-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "4704177203",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Auburn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.