Active NPI
Luann P. Shepperd, RN
- Registered Nurse
- Smyrna, TN
National Provider Identifier
1720201064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 56228
- Practice address
- 108 David Collins Dr
Smyrna, TN 37167-2813 - Phone
- (615) 355-6175
- Fax
- (615) 459-7996
- NPI assigned
- Apr 11, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 56228 | TN | Primary |
Addresses
Primary practice location
108 David Collins Dr
Smyrna, TN 37167-2813
Mailing address
108 David Collins Dr
Smyrna, TN 37167-2813
Phone (615) 355-6175
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 56228 | Other | TN | RN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56228 | TN | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720201064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 DAVID COLLINS DR",
"city": "SMYRNA",
"state": "TN",
"postal_code": "371672813",
"telephone_number": "615-355-6175",
"fax_number": "615-459-7996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 DAVID COLLINS DR",
"city": "SMYRNA",
"state": "TN",
"postal_code": "371672813",
"telephone_number": "615-355-6175",
"fax_number": "615-459-7996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEPPERD",
"first_name": "LUANN",
"middle_name": "P.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TN",
"license": "56228",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN",
"identifier": "56228",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Smyrna, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.