Eddie Dupree Shepherd

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA1279 Issued in NM

Practice address

13611 Mountain West CT SE
Albuquerque, NM 87123-2248

Phone

(505) 842-5151

NPI assigned

Jan 17, 2026

Sex

Male

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

State licenses

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

{
    "created_epoch": "1768608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768608000000",
    "number": "1336008226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13611 MOUNTAIN WEST CT SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871232248",
            "telephone_number": "505-842-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13611 MOUNTAIN WEST CT SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871232248",
            "telephone_number": "505-842-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "EDDIE",
        "middle_name": "DUPREE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-01-17",
        "last_updated": "2026-01-17",
        "certification_date": "2026-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NM",
            "license": "PTA1279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Lee Shemayme
• Peter Shenk Koontz, MSN, RN, PMHNP-BC
• Maithili Harinanda Shenoy, MD
• Doris Shenuski-Zetocha, SLP
• Angela Ellen Jane Shepard, LCSW
• Erroll Shepherd Jr.
• Jennifer Mary Shepherd, D.C.
• Kanna Shepherd, LOTR
• Megan Shepherd, LPCC
• Ryan S Shepherd, D.M.D.

• Physical Therapy Assistant in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Physical Therapy Assistant in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2026; 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.