Benita Shepherd

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

NA0060036487 Issued in TX

Practice address

468 Valle Vista Ave
Vallejo, CA 94590-3441

Phone

(415) 812-0520

NPI assigned

Apr 27, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1682553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1619665684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "468 VALLE VISTA AVE",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945903441",
            "telephone_number": "415-812-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "468 VALLE VISTA AVE",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945903441",
            "telephone_number": "415-812-0520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "BENITA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-27",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "TX",
            "license": "NA0060036487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Cameron Shearer Jr., L.C.S.W.
• Samantha Anne Shelgren, DPT
• Eve Shelton
• Alexander Shen
• Monica Germaine Shepard
• Jackie Shepherd
• Alan K Sher
• Brian Sherman, PPS
• Peter M. Sherris, MD
• Frank Shic, MD

• Nursing Care Agency in Vallejo, CA
• Providers in Vallejo, CA by specialty
• Nursing Care Agency in California

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

Verify at the official NPI Registry.