Kristin Shepherd, O.T.R./L.

Primary specialty

SpecialistTaxonomy code 174400000X

License

115475 Issued in TX

Practice address

448 Sidney Baker St S
Suite 103
Kerrville, TX 78028-5915

Phone

(830) 896-3130

Fax

(832) 896-3132

NPI assigned

May 15, 2013

Last updated

Jul 9, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Interface Rehab, Inc.

  • Assisted Living Facility
  • Healdsburg, CA
  • NPI 1053178244
  NPD
• Boerne Just-4-Kids Therapy

  • Speech-Language Assistant
  • Kerrville, TX
  • NPI 1255679338
  NPD (past)
• Kimberly a. Cochran

  dba Boerne Just 4 Kids Therapy Services, PLLC

  • Speech-Language Pathologist
  • Kerrville, TX
  • NPI 1790815744
  NPD (past)

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

{
    "created_epoch": "1368576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1760828925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "448 SIDNEY BAKER ST S",
            "address_2": "SUITE 103",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780285915",
            "telephone_number": "830-896-3130",
            "fax_number": "832-896-3132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "448 SIDNEY BAKER ST S",
            "address_2": "SUITE 103",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780285915",
            "telephone_number": "830-896-3130",
            "fax_number": "832-896-3132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "KRISTIN",
        "credential": "O.T.R./L.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-15",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "115475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Marie Shaw, M.D.
• Thomas Shaw, M.D.
• Leonard Michael Sheehy, MD
• Andrea Sheets
• Shelby Braswell Schwing (Schwing Counseling PLLC)
• Sheryl D Galt MD PA
• Gary Shimotsu, M.D.
• Stephen Lynn Short, M.D.
• Jon Dante Sibert, D.C.
• Sid Peterson Memorial Hospital (Peterson Hospice)

• Specialist in Kerrville, TX
• Providers in Kerrville, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.