Sharon Lynn Shepherd, ACNS

Primary specialty

Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X

License

2012005558 Issued in MO

Practice address

801 Kidwell Dr
Versailles, MO 65084-1787

Phone

(573) 761-7176

Fax

(573) 761-6947

NPI assigned

Jul 13, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist

State licenses

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

{
    "created_epoch": "1342137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342137600000",
    "number": "1386909513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 KIDWELL DR",
            "city": "VERSAILLES",
            "state": "MO",
            "postal_code": "650841787",
            "telephone_number": "573-761-7176",
            "fax_number": "573-761-6947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 KIDWELL DR",
            "city": "VERSAILLES",
            "state": "MO",
            "postal_code": "650841787",
            "telephone_number": "573-761-7176",
            "fax_number": "573-761-6947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "SHARON",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "ACNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-13",
        "last_updated": "2012-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "MO",
            "license": "2012005558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regional Health Care Clinic, Inc
• Regional Health Care Clinic, Inc
• Trisha Robinson, LPC
• Angela M. Ross, LCSW
• Frederick Michael Schekorra, DO
• Amanda Kay Shipp, M.D.
• Darrell James Shirk
• Amy L Smith, RPH
• Erin Michelle Smith
• Kimberly Smith, PTA

• Adult Health Clinical Nurse Specialist in Versailles, MO
• Providers in Versailles, MO by specialty
• Adult Health Clinical Nurse Specialist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2012; 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.