Active NPI
Rosalinda Sheppard
- Peer Specialist
- Riverside, CA
National Provider Identifier
1568848877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 10406 Indiana Ave Apt 159
Riverside, CA 92503-5398 - Phone
- (909) 438-4212
- NPI assigned
- Aug 10, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Peer Specialist | 175T00000X | Primary |
Addresses
Primary practice location
10406 Indiana Ave Apt 159
Riverside, CA 92503-5398
Mailing address
10406 Indiana Ave Apt 159
Riverside, CA 92503-5398
Phone (909) 438-4212
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677456000000",
"number": "1568848877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10406 INDIANA AVE APT 159",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925035398",
"telephone_number": "909-438-4212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10406 INDIANA AVE APT 159",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925035398",
"telephone_number": "909-438-4212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEPPARD",
"first_name": "ROSALINDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-10",
"last_updated": "2023-02-27",
"certification_date": "2023-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.