Anthony Trayvon Shepard

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

0806091399 Issued in NV

Practice address

6060 Silver Lake Rd Apt 13G
Reno, NV 89506-1782

Phone

(775) 303-6446

NPI assigned

Feb 6, 2023

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

Other identifiers 1

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": "1675641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1336845908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6060 SILVER LAKE RD APT 13G",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895061782",
            "telephone_number": "775-303-6446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6060 SILVER LAKE RD APT 13G",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895061782",
            "telephone_number": "775-303-6446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPARD",
        "first_name": "ANTHONY",
        "middle_name": "TRAYVON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "NV",
            "license": "0806091399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0806091399",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cheyenne Amber Shelton
• Kristen Shelton
• Susan Shelton
• Chloe E Meyer Shenk, MD
• Jennifer Jean Shepack, OTR/L
• Russ Shepard
• Scott Franklin Shepherd, M.D.
• Christina Sheppard, APRN, NP-C
• Jacob Kyle Sheppard, NRP
• Charissa Jo Sheppeard

• Diabetes Educator Registered Nurse in Reno, NV
• Providers in Reno, NV by specialty
• Diabetes Educator Registered Nurse in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.