Matthew Thomas Shepherd

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

Practice address

4949 Adelia Dr
Virginia Beach, VA 23455-3862

Phone

(757) 681-0743

NPI assigned

Nov 30, 2023

Last updated

Nov 30, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

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

{
    "created_epoch": "1701302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1467228445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4949 ADELIA DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234553862",
            "telephone_number": "757-681-0743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4949 ADELIA DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234553862",
            "telephone_number": "757-681-0743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "MATTHEW",
        "middle_name": "THOMAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-30",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Felicia Shelton, BCBA
• Lori Sumerford Shelton, PA-C
• You Jun Shen, MD
• Teresa A Shenouda, M.D.
• Kristin Kirkland Shepherd, PA-C
• Susan Shepherd
• Catherine Marie Sheppard, PA-C
• Taela Sheridan
• Gretchen Sherrill, LPC, LMHC
• Marshall Neil Sherrill, IDC/DMT

• Home Modifications Contractor in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Home Modifications Contractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; 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.