Jill Sheppard Davenport, MS, MPP, LN, LDN,CNS

Primary specialty

NutritionistTaxonomy code 133N00000X

License

DX4347 Issued in MD

Practice address

10801 Hickory Ridge Rd Suite 215
C/O Holistic Child Psychiatry
Columbia, MD 21044

Phone

(202) 567-7783

NPI assigned

Jan 30, 2018

Reactivated

Jul 17, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Specialist, Master of Science

State licenses

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

{
    "created_epoch": "1517270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1467950980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10801 HICKORY RIDGE RD SUITE 215",
            "address_2": "C/O HOLISTIC CHILD PSYCHIATRY",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "21044",
            "telephone_number": "202-567-7783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10801 HICKORY RIDGE RD SUITE 215",
            "address_2": "C/O HOLISTIC CHILD PSYCHIATRY",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "21044",
            "telephone_number": "202-567-7783"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1645 Connecticut Ave NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200091054",
            "country_code": "US",
            "telephone_number": "202-222-2222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1645 Connecticut Ave NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200091054",
            "country_code": "US",
            "telephone_number": "202-222-2222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1880 Ontario Pl NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200092109",
            "country_code": "US",
            "telephone_number": "202-567-7783",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEPPARD DAVENPORT",
        "first_name": "JILL",
        "credential": "MS, MPP, LN, LDN,CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-30",
        "last_updated": "2025-07-17",
        "deactivation_date": "2024-10-11",
        "reactivation_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "MD",
            "license": "DX4347",
            "primary": true
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "MD",
            "license": "DX4347",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Volcious Kimberlyn Shelton
• Jacqueline Christina Shepard-Lewis, M.D.
• Kate Shepard, LMSW, MBA
• Jazzmen Shepherd
• Mark Harrison Shepherd, DPT
• Judy Sheppard, LCPC
• Zev Jason Sheppard, LMSW
• Victoria Shequine, LCPC
• Anna Maureen Sheridan
• Oumie Mariam Sherif

• Nutritionist in Columbia, MD
• Providers in Columbia, MD by specialty
• Nutritionist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; 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.