Kay B Shepherd, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

AP01896 Issued in LA

Practice address

3600 Florida Blvd
Baton Rouge, LA 70806-3842

Phone

(225) 387-7070

Fax

(225) 387-7700

NPI assigned

Jun 13, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in LA

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

Specialty

Nurse Practitioner

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

CLHG-Winn, LLCGroup PAC ID 6002198736, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kay.shepherd.2@25133.direct.athenahealth.com

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.

• CLHG-Winn, LLC

  • Family Medicine Physician
  • Winnfield, LA
  • NPI 1629391628
  Medicare reassignment Care Compare group NPD
• CLHG-Winn LLC

  • Rural Health Clinic/Center
  • Winnfield, LA
  • NPI 1467055442
  NPD
• Hospital Medicine Group Inc

  • Internal Medicine Physician
  • Baton Rouge, LA
  • NPI 1306860978
  NPD (past)
• Our Lady of the Lake Hospital Inc

  • Internal Medicine Physician
  • Baton Rouge, LA
  • NPI 1275577603
  NPD (past)
• Our Lady of the Lake Physician Group LLC

  • Hematology & Oncology Physician
  • Baton Rouge, LA
  • NPI 1184671455

  Nurse Practitioner

  NPD (past)

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321488000000",
    "number": "1548464522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4869 DEPT 235",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77210",
            "telephone_number": "877-744-1141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 FLORIDA BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708063842",
            "telephone_number": "225-387-7070",
            "fax_number": "225-387-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "KAY",
        "middle_name": "B",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-13",
        "last_updated": "2011-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "LA",
            "license": "AP01896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1682632",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1548464522",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shenandoah Eye Clinic
• Shenandoah Medical Associates, LLC
• Jody Shepard
• Joli E Shepard, O.D.
• Latrika Shepard, LMT
• Marene Marcella Shepherd, CRNA
• Mya Renee Shepherd
• Joanna Sheppard, PLPC
• Rachel Sheppard
• Sheridan Emergency Physician Services of Louisiana Inc

• Adult Health Nurse Practitioner in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Adult Health Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.