Laurel A Shepherd, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

901835821205 Issued in UT

Practice address

1225 Fort Union Blvd Ste 125
Urgent Care Admin
Midvale, UT 84047-1871

Phone

(801) 233-4400

NPI assigned

Aug 16, 2006

Last updated

Jul 20, 2012By the provider in NPPES

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)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342742400000",
    "number": "1326151234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 FORT UNION BLVD STE 125",
            "address_2": "URGENT CARE ADMINISTRATION",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840471871",
            "telephone_number": "801-233-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 FORT UNION BLVD STE 125",
            "address_2": "URGENT CARE ADMIN",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840471871",
            "telephone_number": "801-233-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "LAUREL",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2012-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "UT",
            "license": "901835821205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loseli Adelaide Diane Seve
• Sydney Shaffer
• Mehrnoosh Shakeri, MD, MPH
• Puja Sharma-Basnet, PHARMD
• Jacqueline Shawver
• Shepherds Staff Christian Counseling Center Inc (Christian Counseling Centers of Utah)
• Shi Woo Acupuncture and Wellness
• Stacey Nicole Simmons, LCSW
• Tamika Marie Simmons
• Kay Sue Simons, LCSW

• Emergency Medicine Physician in Midvale, UT
• Providers in Midvale, UT by specialty
• Emergency Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2012; 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.