Individual provider Active NPI

Lindsey Nicole Sheppard, APRN-CNP

  • Family Nurse Practitioner
  • Blanchard, OK
National Provider Identifier
1457760274
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0092860 Issued in OK
Practice address
5575 N Council Ave
Blanchard, OK 73010-8049
Phone
(405) 597-2194
NPI assigned
Aug 6, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0092860 OK Primary

Addresses

Primary practice location

5575 N Council Ave
Blanchard, OK 73010-8049

Mailing address

5575 N Council Ave
Blanchard, OK 73010-8049
Phone (405) 597-2194

Other names 1

  • Lindsey Nicole Leehan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140916001262 OK Practitioner - Nurse Practitioner 3870712383 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hometown Healthcare LLCGroup PAC ID 3577938513, 2 clinicians

Practice addresses (Care Compare)

5575 N Council Ave
Blanchard, OK 73010-8049
Phone (405) 597-2194

Hospital & facility affiliations

  • O U Medical Center Hospital, Oklahoma City, OK, CCN 370093

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0092860OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hometown Healthcare LLC Family CurrentSince Apr 1, 2023 Accepting new patients
Allergy & Respiratory Clinic of Southern Ok LLC Past Accepting new patients

Locations

5575 N Council Ave
Blanchard, OK 73010
Phone (405) 597-2194

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1407283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1457760274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5575 N COUNCIL AVE",
            "city": "BLANCHARD",
            "state": "OK",
            "postal_code": "730108049",
            "telephone_number": "405-597-2194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5575 N COUNCIL AVE",
            "city": "BLANCHARD",
            "state": "OK",
            "postal_code": "730108049",
            "telephone_number": "405-597-2194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPPARD",
        "first_name": "LINDSEY",
        "middle_name": "NICOLE",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-06",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "0092860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSEY",
            "last_name": "LEEHAN",
            "middle_name": "NICOLE",
            "credential": "APRN-CNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Blanchard, OK

Sources for this page

Verify at the official NPI Registry.