Active NPI
Danielle Rachelle Shepherd, NP
- Nurse Practitioner
- Kingsport, TN
National Provider Identifier
1538400080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APN17437
- Practice address
- 105 W Stone Dr
Ste 1F
Kingsport, TN 37660-3365 - Phone
- (423) 230-2420
- Fax
- (423) 230-2422
- NPI assigned
- Mar 8, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APN17437 | TN | Primary |
Addresses
Primary practice location
105 W Stone Dr
Ste 1F
Kingsport, TN 37660-3365
Mailing address
PO Box 9
Kingsport, TN 37662-0009
Phone (423) 857-2066
Other names 1
- Miss Danielle Rachelle Shepherd
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362700800000",
"number": "1538400080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376620009",
"telephone_number": "423-857-2066",
"fax_number": "423-857-2070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 W STONE DR",
"address_2": "STE 1F",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376603365",
"telephone_number": "423-230-2420",
"fax_number": "423-230-2422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEPHERD",
"first_name": "DANIELLE",
"middle_name": "RACHELLE",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-08",
"last_updated": "2013-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "APN17437",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DANIELLE",
"last_name": "SHEPHERD",
"middle_name": "RACHELLE",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Kingsport, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.