Active NPI
Gia Shepherd
- Family Nurse Practitioner
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP028751
- Practice address
- 1601 N Broad St
Philadelphia, PA 19122-6001 - Phone
- (215) 707-2000
- NPI assigned
- Dec 5, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP028751 | PA | Primary |
Addresses
Primary practice location
1601 N Broad St
Philadelphia, PA 19122-6001
Mailing address
1601 N Broad St
Philadelphia, PA 19122-6001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3356 Aramingo Ave
Philadelphia, PA 19134-4506
Phone (215) 999-3356
3401 N Broad St
Philadelphia, PA 19140-5103
Phone (215) 707-3008
3626 St Rd
Bensalem, PA 19020-1507
Phone (267) 763-3626
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| On Demand Urgent Care Group PC | Current | Accepting new patients | |
| Temple Faculty Practice Plan Inc | Current | Accepting new patients | |
| Temple Faculty Practice Plan Inc | Current | Accepting new patients | |
| Temple Faculty Practice Plan Inc | Current | Accepting new patients | |
| On Demand Urgent Care Group PC | Past | Accepting new patients |
Locations
3500 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3656
100 E Lehigh Ave
Philadelphia, PA 19125
Phone (215) 707-1200
3356 Aramingo Ave
Philadelphia, PA 19134
Phone (215) 739-6600
3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807
Interoperability endpoints
- gia.shepherd.1@14965.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Urgent Care Clinic/Center
- Philadelphia, PA
- NPI 1053729814
-
- Anesthesiology Physician
- Philadelphia, PA
- NPI 1881176949
-
- Internal Medicine Physician
- Philadelphia, PA
- NPI 1073095915
-
- Urology Physician
- Voorhees, NJ
- NPI 1407638794
-
- Urgent Care Clinic/Center
- Philadelphia, PA
- NPI 1881083723
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1275157455
-
- Ambulatory Surgical Clinic/Center
- Philadelphia, PA
- NPI 1275682148
Hospital
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1356981443
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1871368654
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1932813789
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1962579029
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701734400000",
"number": "1386411833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 N BROAD ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191226001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 N BROAD ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191226001",
"telephone_number": "215-707-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEPHERD",
"first_name": "GIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-12-05",
"last_updated": "2023-12-05",
"certification_date": "2023-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP028751",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; 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.