Keshia G. Shepherd

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

255866 Issued in KY

Practice address

226 Medical Plaza LN
Whitesburg, KY 41858-7425

Phone

(606) 633-4871

Fax

(606) 633-0883

NPI assigned

Oct 11, 2018

Last updated

Aug 25, 2021By the provider in NPPES

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

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

University of Kentucky College of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mountain Comprehensive Health CorporationGroup PAC ID 7618875873, 82 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: keshia.shepherd.p1@direct.mtncomp.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mountain Comprehensive Health Corporation

  • Primary Care Clinic/Center
  • Whitesburg, KY
  • NPI 1417900242
  Medicare reassignment Care Compare group NPD
• Mountain Comprehensive Health Corporation

  dba Mountain Comprehensive Specialty Services

  • Pulmonary Disease Physician
  • Whitesburg, KY
  • NPI 1033166350
  NPD
• Mountain Comprehensive Health Corporation

  dba Elkhorn City Optometry Clinic

  • Primary Care Clinic/Center
  • Elkhorn City, KY
  • NPI 1215818414
  NPD
• Mountain Comprehensive Health Corporation

  • Primary Care Clinic/Center
  • Whitesburg, KY
  • NPI 1710235916
  NPD

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

{
    "created_epoch": "1539216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1619442134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40",
            "city": "WHITESBURG",
            "state": "KY",
            "postal_code": "418580040",
            "telephone_number": "606-633-4823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 MEDICAL PLAZA LN",
            "city": "WHITESBURG",
            "state": "KY",
            "postal_code": "418587425",
            "telephone_number": "606-633-4871",
            "fax_number": "606-633-0883"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "464 Ky Highway 699",
            "address_purpose": "LOCATION",
            "city": "Cornettsville",
            "state": "KY",
            "postal_code": "417318749",
            "country_code": "US",
            "telephone_number": "606-476-2593",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "KESHIA",
        "middle_name": "G.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-11",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KY",
            "license": "253035",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "255866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristie Michelle Roark, RPH
• Sunil C. Roy, M.D.
• Ashley Sansom, APRN
• Ryan M Shephard, D.O.
• Katrina Nicole Shepherd-Whisenant, D.I.
• Katherine Niccole Shortt, BSN, RN
• Kaytlin Brooke Shortt
• Katrina Renee Slone, D.O.
• Suzanne Smallwood, PT
• Kristin Smith

• Clinical Social Worker in Whitesburg, KY
• Providers in Whitesburg, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; 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.