Individual provider Active NPI

Laura Shepherd

  • Emergency Medicine Physician
  • Norfolk, VA
National Provider Identifier
1457096026
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
0101286146 Issued in VA
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

Updated by the provider on Jul 15, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241105002487 TN Practitioner - Emergency Medicine 1850825472 Reassigns benefits to 1 organization
I20260512000452 VA Practitioner - Emergency Medicine 1850825472 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
0101286146VAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Putnam Emergency Physicians, PLLC Emergency Medicine CurrentSince Aug 10, 2024 Accepting new patients

Locations

1 Medical Center Blvd
Cookeville, TN 38501
Phone (931) 783-2334

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.