Individual provider Active NPI

Tanieka Donyel Shepherd, WHCNP

  • Women's Health Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1306033600
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
661550 Issued in TX
Practice address
8224 Park LN Ste 130
Dallas, TX 75231-6021
Phone
(214) 266-0266
NPI assigned
Oct 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 661550 TX Primary

Addresses

Primary practice location

8224 Park LN Ste 130
Dallas, TX 75231-6021

Mailing address

PO Box 660599
Dallas, TX 75266-0599

Other practice location 1

4600 Scyene Rd
Dallas, TX 75210-2219
Phone (214) 266-1200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20130326000235 TX Practitioner - Nurse Practitioner 6406091339 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
661550TXMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas County Hospital District Women'S Health CurrentSince Jan 10, 2013 Accepting new patients
Dallas County Hospital District Women'S Health Current Accepting new patients
Dallas County Hospital District CurrentSince Jan 10, 2013 Accepting new patients
Dallas County Hospital District Past Accepting new patients

Locations

8224 Park Ln
Ste 130
Dallas, TX 75231
Phone (214) 266-0266

801 Conover Dr
Grand Prairie, TX 75051
Phone (214) 266-3400

1800 N Britain Rd
Irving, TX 75061
Phone (214) 266-3000

Interoperability endpoints

  • Direct secure messaging: tdavis22550@direct.phhs.org

Organizations & group practices 4

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": "1191196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1306033600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660599",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752660599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8224 PARK LN STE 130",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752316021",
            "telephone_number": "214-266-0266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4600 SCYENE RD",
            "address_purpose": "LOCATION",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752102219",
            "country_code": "US",
            "telephone_number": "214-266-1200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "TANIEKA",
        "middle_name": "DONYEL",
        "credential": "WHCNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-01",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "661550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.