NPIMap

Organization Active NPI

Laquita a Shepherd, MD PLLC

Doing business as Novella Family Medical

  • Family Medicine Physician
  • Mesquite, TX
National Provider Identifier
1710498043
Registry record updated Apr 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H4698 Issued in TX
Legal business name
LAQUITA A SHEPHERD, MD PLLC
Doing business as
Novella Family Medical
Practice address
1010 N Belt Line Rd Ste 105
Mesquite, TX 75149-1700
Phone
(972) 686-1234
Fax
(972) 686-9000
NPI assigned
Oct 13, 2017
Last updated
Apr 4, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2019

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

Authorized official

Name
Laquita A Shepherd, MDNPI 1063483998
Title
Owner
Phone
(214) 532-3756

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X H4698 TX Primary

Addresses

Primary practice location

1010 N Belt Line Rd Ste 105
Mesquite, TX 75149-1700

Mailing address

1010 N Belt Line Rd Ste 105
Mesquite, TX 75149-1700
Phone (972) 686-1234

Other names 1

  • Novella Family Medical Doing business as

National Provider Directory

National Provider Directory

Locations

1010 N Belt Line Rd
Ste 105
Mesquite, TX 75149
Phone (972) 288-3471

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1507852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554336000000",
    "number": "1710498043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 N BELT LINE RD STE 105",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751491700",
            "telephone_number": "972-686-1234",
            "fax_number": "972-686-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 N BELT LINE RD STE 105",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751491700",
            "telephone_number": "972-686-1234",
            "fax_number": "972-686-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAQUITA A SHEPHERD, MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-13",
        "last_updated": "2019-04-04",
        "status": "A",
        "authorized_official_last_name": "SHEPHERD",
        "authorized_official_first_name": "LAQUITA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-532-3756",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H4698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Novella Family Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; 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.