Kaitlyn Sheppard

Primary specialty

Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X

License

35.134564 Issued in OH

Practice address

6001 E Broad St
Columbus, OH 43213-1502

Phone

(330) 375-3315

NPI assigned

Mar 30, 2015

Last updated

May 20, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ksheppard1141788@direct.trinity-health.org

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.

• Mount Carmel Health System

  dba Mount Carmel Health System Physicians

  • Internal Medicine Physician
  • Columbus, OH
  • NPI 1457617235
  Medicare reassignment NPD
• Mount Carmel Health System

  dba Mount Carmel Dublin

  • General Acute Care Hospital
  • Dublin, OH
  • NPI 1710752183
  NPD

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

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558310400000",
    "number": "1770978603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 ARCH ST",
            "address_2": "STE 1B",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443041423",
            "telephone_number": "330-375-3315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 E BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432131502",
            "telephone_number": "330-375-3315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPPARD",
        "first_name": "KAITLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-30",
        "last_updated": "2019-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "OH",
            "license": "35.134564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Shepherd Sr.
• Taylor Shepherd, NP
• Benjamin Roland Sheppard, PMHNP-BC
• Jason Lee Sheppard, OTR/L
• Juanita Sheppard, CDCA
• Shelley Sheppard, PMHNP
• Sarah Sherby
• Shane Anthony Sheredy, PHARMD
• Heidi Sherer
• Stephen C. Sherer, CRNA

• Hospice and Palliative Medicine (Internal Medicine) Physician in Columbus, OH
• Providers in Columbus, OH by specialty
• Hospice and Palliative Medicine (Internal Medicine) Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.