Maegan Shepherd

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

Legal business name

MAEGAN SHEPHERD

Practice address

4 Rockland CT
Mansfield, TX 76063-5006

Phone

(817) 851-5517

Fax

(817) 394-4353

NPI assigned

Dec 23, 2014

Last updated

Dec 23, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Maegan R Shepherd

Title

Iom Technician

Phone

(817) 851-5517

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1419292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419292800000",
    "number": "1528456738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 ROCKLAND CT",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760635006",
            "telephone_number": "817-851-5517",
            "fax_number": "817-394-4353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 ROCKLAND CT",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760635006",
            "telephone_number": "817-851-5517",
            "fax_number": "817-394-4353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAEGAN SHEPHERD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-23",
        "last_updated": "2014-12-23",
        "status": "A",
        "authorized_official_last_name": "SHEPHERD",
        "authorized_official_first_name": "MAEGAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "IOM TECHNICIAN",
        "authorized_official_telephone_number": "817-851-5517",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Electroneurodiagnostic Specialist/Technologist in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Electroneurodiagnostic Specialist/Technologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2014; 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.