Joan Russell Shepherd, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

0017137813 Issued in VA

Practice address

204 N Hamilton St
Suite 4
Richmond, VA 23221-2662

Phone

(804) 353-1230

NPI assigned

Jul 13, 2008

Last updated

Jan 30, 2018By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Apple Gate Health Services, Inc

  dba Applegate Recovery Richmond

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Richmond, VA
  • NPI 1912487299
  Medicare reassignment NPD
• Applegate Health Services, Inc.

  dba AppleGate Recovery Jasper

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Jasper, AL
  • NPI 1891494415
  NPD

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

{
    "created_epoch": "1215907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517270400000",
    "number": "1689838294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 N HAMILTON ST",
            "address_2": "SUITE 4",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232212662",
            "telephone_number": "804-353-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 N HAMILTON ST",
            "address_2": "SUITE 4",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232212662",
            "telephone_number": "804-353-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "JOAN",
        "middle_name": "RUSSELL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-13",
        "last_updated": "2018-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0017137813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arthur J Shepard III, MD
• Richard K. Shepard, M.D.
• Stephanie Shepard
• Andrew Clark Shepherd, D.C.
• Elizabeth Crumpton Shepherd, PSYD
• Ray W. Shepherd, M.D.
• Travis Shepherd, LPTA
• Shepherd's Staff Ministry Inc.
• Cindy Marie Sheppard, SA
• Deborah Sheppard, APRN, FNP-C

• Nurse Practitioner in Richmond, VA
• Providers in Richmond, VA by specialty
• Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.