Debra G Shepard, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME0076050 Issued in FL

Practice address

1008 Goodlette Rd N
Ste 100
Naples, FL 34102-5406

Phone

(239) 262-8226

NPI assigned

Jun 9, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Lighthouse Pediatrics of Naples, LLC

  • Pediatrics Physician
  • Naples, FL
  • NPI 1285023309
  NPD (past) Authorized official

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232323200000",
    "number": "1619918711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 GOODLETTE RD N",
            "address_2": "STE 100",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025406",
            "telephone_number": "239-262-8226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 GOODLETTE RD N",
            "address_2": "STE 100",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025406",
            "telephone_number": "239-262-8226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPARD",
        "first_name": "DEBRA",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2009-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME0076050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH",
            "identifier": "0187815",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254504700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheldon Weiner, MD, PA
• Shelly Allred Medical Supply LLC
• Oriannie Shelton, DNP
• Tirzah Shelton
• Shemansky Chiropractic, P.a.
• Steven Neil Shephard, DO, FACOOG
• Damon Wyatt Shepherd
• Sheridan Anesthesia Services of Southwest Florida, Inc.
• Janice R Sheridan, FNP-BC
• Sheryl B. Spielman, M.D. P.a.

• Pediatrics Physician in Naples, FL
• Providers in Naples, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2009; 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.