Organization Active NPI

Shepard Health, LLC.

  • Primary Care Nurse Practitioner
  • Columbia, SC
National Provider Identifier
1346930385
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
SHEPARD HEALTH, LLC.
Practice address
540 Saint Andrews Rd Ste 215B
Columbia, SC 29210-4500
Phone
(803) 290-6357
NPI assigned
May 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2023

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

Authorized official

Name
Rachelle Shepard, NPNPI 1164995346
Title
Nurse Practitioner
Phone
(803) 290-6357

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

540 Saint Andrews Rd Ste 215B
Columbia, SC 29210-4500

Mailing address

752 Deerwood Crossing Dr
Columbia, SC 29229-8244
Phone (803) 290-6357

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1683849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683849600000",
    "number": "1346930385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "752 DEERWOOD CROSSING DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292298244",
            "telephone_number": "803-290-6357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 SAINT ANDREWS RD STE 215B",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292104500",
            "telephone_number": "803-290-6357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEPARD HEALTH, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-12",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A",
        "authorized_official_last_name": "SHEPARD",
        "authorized_official_first_name": "RACHELLE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "803-290-6357",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.