Active NPI
Laura Shepherd
- Emergency Medicine Physician
- Norfolk, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 0101286146
- Practice address
- 1775 Forrestal Dr
BLDG NH-33
Norfolk, VA 23551-2400 - Phone
- (757) 836-1552
- NPI assigned
- Apr 28, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 71415 | TN | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | 0101286146 | VA | Primary |
Addresses
Primary practice location
1775 Forrestal Dr
BLDG NH-33
Norfolk, VA 23551-2400
Mailing address
1775 Forrestal Dr
BLDG NH-33
Norfolk, VA 23551-2400
Phone (757) 836-1552
Other practice location 1
1 Medical Center Blvd
Cookeville, TN 38501-4294
Phone (931) 528-2541
Other practice location 2
1313 21st Ave S
Nashville, TN 37232-0001
Phone (615) 364-2036
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Ohio State University College of Medicine, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4535 Dressier Rd NW
Canton, OH 44718-2545
4535 Dressler Rd NW
Canton, OH 44718-2545
6243 Burbage Acres Dr
Suffolk, VA 23435-3046
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101286146 | VA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Putnam Emergency Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
Locations
1 Medical Center Blvd
Cookeville, TN 38501
Phone (931) 783-2334
Interoperability endpoints
- lshepherd720217@direct.vumc.org
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- Cookeville, TN
- NPI 1891475752
-
- Internal Medicine Physician
- Dulles, VA
- NPI 1376917070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752537600000",
"number": "1457096026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1775 FORRESTAL DR",
"address_2": "BLDG NH-33",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235512400",
"telephone_number": "757-836-1552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1775 FORRESTAL DR",
"address_2": "BLDG NH-33",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235512400",
"telephone_number": "757-836-1552"
}
],
"practiceLocations": [
{
"address_1": "1 Medical Center Blvd",
"address_purpose": "LOCATION",
"city": "Cookeville",
"state": "TN",
"postal_code": "385014294",
"country_code": "US",
"telephone_number": "931-528-2541",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1313 21st Ave S",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372320001",
"country_code": "US",
"telephone_number": "615-364-2036",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHEPHERD",
"first_name": "LAURA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-28",
"last_updated": "2025-07-15",
"certification_date": "2025-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TN",
"license": "71415",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "VA",
"license": "0101286146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; 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.