Karen Shepherd, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DO00000481 Issued in TN

Practice address

170 Cherry St
Dunlap, TN 37327

Phone

(423) 949-5091

Fax

(423) 949-4231

NPI assigned

Jun 21, 2006

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

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Emergency MedicineAlso: Family Practice

Education

At Still University of Health Sciences, College of Osteo Med, Kirksville, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273190400000",
    "number": "1376589135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 CHERRY ST.",
            "address_2": "P.O.BOX 1027",
            "city": "DUNLAP",
            "state": "TN",
            "postal_code": "37327",
            "telephone_number": "423-949-5091",
            "fax_number": "423-949-4231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 CHERRY ST",
            "city": "DUNLAP",
            "state": "TN",
            "postal_code": "37327",
            "telephone_number": "423-949-5091",
            "fax_number": "423-949-4231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "KAREN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2010-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "DO00000481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TENNESSEE",
            "identifier": "3051903",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3301985",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00290039",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney R Robertson, NP
• Oscar Dewitt Scruggs IV, DDS
• Sequatchie County Board of Education
• Sequatchie Valley Physical Therapy, LLC
• Jessica Dion Shedd, NP-C
• Ashley Louise Shockley, MOT, OTR/L
• Sydney Shoulders
• Barry Travis Smith, PT, ATC
• Derrick Smith
• South East Tennessee Human Resource Agency

• Family Medicine Physician in Dunlap, TN
• Providers in Dunlap, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.