Individual provider Active NPI

Ashley Shepherd, APRN.CNP

  • Family Nurse Practitioner
  • Lewis Center, OH
National Provider Identifier
1770084774
Registry record updated Feb 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
022312 Issued in OH
Practice address
1852 Summersweet Cir
Lewis Center, OH 43035-8347
Phone
(740) 466-6161
NPI assigned
Feb 24, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 022312 OH Primary

Addresses

Primary practice location

1852 Summersweet Cir
Lewis Center, OH 43035-8347

Mailing address

1852 Summersweet Cir
Lewis Center, OH 43035-8347
Phone (740) 466-6161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20190220001749 OH Practitioner - Nurse Practitioner 6406194224 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
022312OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Ohio Primary Care Physicians, Inc. Family CurrentSince Jun 29, 2020 Accepting new patients
Central Ohio Primary Care Physicians, Inc. CurrentSince Jun 29, 2020 Accepting new patients
Central Ohio Primary Care Physicians Inc Current Accepting new patients

Locations

4885 Olentangy River Rd
Columbus, OH 43214
Phone (614) 326-5665

1080 Beecher Xing N
Ste B
Columbus, OH 43230

Interoperability endpoints

  • Direct secure messaging: ashepherd19230@copcp.medicity.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1519430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519430400000",
    "number": "1770084774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1852 SUMMERSWEET CIR",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430358347",
            "telephone_number": "740-466-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1852 SUMMERSWEET CIR",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430358347",
            "telephone_number": "740-466-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "ASHLEY",
        "name_prefix": "Mrs.",
        "credential": "APRN.CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-24",
        "last_updated": "2018-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "022312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewis Center, OH

Sources for this page

Verify at the official NPI Registry.