Individual provider Active NPI

Erin A Shepherd, D.C.

  • Chiropractor
  • Tolland, CT
National Provider Identifier
1629149570
Registry record updated Sep 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1388 Issued in CT
Practice address
68 Hartford Tpke
Tolland, CT 06084-2841
Phone
(860) 871-0451
Fax
(860) 875-3445
NPI assigned
Nov 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1388 CT Primary

Addresses

Primary practice location

68 Hartford Tpke
Tolland, CT 06084-2841

Mailing address

68 Hartford Tpke
Tolland, CT 06084-2841
Phone (860) 871-0451

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071023000463 CT Practitioner - Chiropractic 0749376671 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1388CTMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Westside Chiropractic of Tolland, LLC Chiropractor CurrentSince Jul 1, 2008 Accepting new patients

Locations

68 Hartford Tpke
Ste 8
Tolland, CT 06084

68 Hartford Tpke
Tolland, CT 06084
Phone (860) 871-0451

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316476800000",
    "number": "1629149570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 HARTFORD TPKE",
            "city": "TOLLAND",
            "state": "CT",
            "postal_code": "060842841",
            "telephone_number": "860-871-0451",
            "fax_number": "860-875-3445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 HARTFORD TPKE",
            "city": "TOLLAND",
            "state": "CT",
            "postal_code": "060842841",
            "telephone_number": "860-871-0451",
            "fax_number": "860-875-3445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "ERIN",
        "middle_name": "A",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2011-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "1388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tolland, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.