Individual provider Active NPI

Kindra Lee Shepard, FNP

  • Nurse Practitioner
  • Terre Haute, IN
National Provider Identifier
1326535816
Registry record updated Apr 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71007928A Issued in IN
Practice address
1429 N 6TH St
Terre Haute, IN 47807-1019
Phone
(812) 242-3109
Fax
(812) 242-3990
NPI assigned
Apr 19, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71007928A IN Primary

Addresses

Primary practice location

1429 N 6TH St
Terre Haute, IN 47807-1019

Mailing address

221 S 6TH St
Terre Haute, IN 47807-4214
Phone (812) 242-3157

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20180507000183 IN Practitioner - Nurse Practitioner 9032473772 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Union Associated Physicians Clinic, LLCGroup PAC ID 3375687437, 230 clinicians

Practice addresses (Care Compare)

221 S 6 TH St
Apands Clinic Downtown
Terre Haute, IN 47807-4214
Phone (812) 232-0564

Hospital & facility affiliations

  • Union Hospital Inc Hospital, Terre Haute, IN, CCN 150023
  • Union Hospital Clinton Hospital, Clinton, IN, CCN 151326
  • Terre Haute Regional Hospital Hospital, Terre Haute, IN, CCN 150046
  • Paris Community Hospital Hospital, Paris, IL, CCN 141320
  • Ascension St Vincent Clay Hospital, Brazil, IN, CCN 151309

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71007928AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Union Associated Physicians Clinic LLC CurrentSince May 1, 2018 Accepting new patients
Union Hospital Inc. Current Accepting new patients
Union Associated Physicians Clinic, LLC CurrentSince May 1, 2018 Accepting new patients

Locations

801 S Main St
Ste 200
Clinton, IN 47842

221 S 6th St
Terre Haute, IN 47807
Phone (812) 242-3157

1429 N 6th St
Terre Haute, IN 47807
Phone (812) 242-3115

2133 S State Road 46
Terre Haute, IN 47803
Phone (812) 242-3737

1429 N 6th St
Ofc
Terre Haute, IN 47807

Interoperability endpoints

  • Direct secure messaging: kshepard@unionhealth.cernerdirect.com

Organizations & group practices 3

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524096000000",
    "number": "1326535816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 S 6TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478074214",
            "telephone_number": "812-242-3157",
            "fax_number": "812-242-3861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1429 N 6TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478071019",
            "telephone_number": "812-242-3109",
            "fax_number": "812-242-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPARD",
        "first_name": "KINDRA",
        "middle_name": "LEE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-19",
        "last_updated": "2018-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71007928A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

Verify at the official NPI Registry.