NPIMap

Individual provider Active NPI

Sandra Lauren Shepherd, MD

  • Family Medicine Physician
  • Missoula, MT
National Provider Identifier
1720171994
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11067 Issued in MT
Practice address
2825 Fort Missoula Rd Ste 115
Missoula, MT 59804-7403
Phone
(406) 541-9222
Fax
(406) 541-9223
NPI assigned
Oct 2, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 11067 MT
Family Medicine Physician 207Q00000X 11067 MT Primary

Addresses

Primary practice location

2825 Fort Missoula Rd Ste 115
Missoula, MT 59804-7403

Mailing address

2825 Fort Missoula Rd Ste 115
Missoula, MT 59804-7403
Phone (406) 541-9222

Other practice location 1

2835 Fort Missoula Rd
Ste 201 Mountain View Family Medical and Obstetrics
Missoula, MT 59804
Phone (406) 327-3920

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070614000431 MT Practitioner - Family Practice 3678549896 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Washington School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Generations Family Medicine and ObstetricsGroup PAC ID 2769769058, 4 clinicians

Practice addresses (Care Compare)

2825 Fort Missoula Rd
Suite 115
Missoula, MT 59804-7403
Phone (406) 541-9222

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions21
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
11067MTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Generations Family Medicine and Obstetrics Family Medicine CurrentSince Jul 1, 2017 Accepting new patients
RCHP Billings - Missoula LLC Past Accepting new patients

Locations

1200 S Reserve St
Ste H
Missoula, MT 59801
Phone (406) 543-9200

2825 Fort Missoula Rd
Ste 115
Missoula, MT 59804
Phone (406) 541-9222

Interoperability endpoints

  • Direct secure messaging: generationsfamilymedicine.sandrashepherd@139010.advancedmd-direct.com

Organizations & group practices 2

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1720171994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 FORT MISSOULA RD STE 115",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047403",
            "telephone_number": "406-541-9222",
            "fax_number": "406-541-9223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 FORT MISSOULA RD STE 115",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047403",
            "telephone_number": "406-541-9222",
            "fax_number": "406-541-9223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2835 Fort Missoula Rd",
            "address_2": "Ste 201 Mountain View Family Medical and Obstetrics",
            "address_purpose": "LOCATION",
            "city": "Missoula",
            "state": "MT",
            "postal_code": "59804",
            "country_code": "US",
            "telephone_number": "406-327-3920",
            "fax_number": "406-327-3921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "SANDRA",
        "middle_name": "LAUREN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MT",
            "license": "11067",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "11067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.