Leah Elizabeth Shepherd, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN.399496 Issued in OH

Practice address

801 Old Harshman Rd
Dayton, OH 45431-1238

Phone

(937) 825-6405

NPI assigned

Oct 24, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Mad River Local Schools

  • Local Education Agency (LEA)
  • Dayton, OH
  • NPI 1265623227
  NPD (past)

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

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477267200000",
    "number": "1316498488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 OLD HARSHMAN RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454311238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 OLD HARSHMAN RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454311238",
            "telephone_number": "937-825-6405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "LEAH",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-24",
        "last_updated": "2016-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.399496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donetha Shephard, QMHS
• Chad Shepherd, PEER SUPPORT
• Jeffery Allen Shepherd
• Jency Shepherd Jr.
• Lakishia Renee Lashae Shepherd
• Phyllis Shepherd, SOLE PROPRIETY
• Roberta Ann Shepherd
• James Marvin Shepler II, DENTIST
• Crystal Sheppard
• Jeannine Elizabeth Sheppard, D.O.

• Registered Nurse in Dayton, OH
• Providers in Dayton, OH by specialty
• Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; 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.