Tiffany C Shepard, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

340992 Issued in NY

Practice address

70 E 115TH St Apt 17J
New York, NY 10029-1120

Phone

(917) 678-6094

NPI assigned

Dec 13, 2023

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)

Not enrolled

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

{
    "created_epoch": "1702425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1801664503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 E 115TH ST APT 17J",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100291120",
            "telephone_number": "917-678-6094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 E 115TH ST APT 17J",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100291120",
            "telephone_number": "917-678-6094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPARD",
        "first_name": "TIFFANY",
        "middle_name": "C",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-13",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "340992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberlin Shepard
• Monae Shepard
• Rachael Ann Shepard, MFT-LP
• Richard Joshua Shepard, DO
• Shakai Shepard, LAC
• Dia Shepardson, CM, LM
• Yuriy Shepelyak, M.D.
• Carole Shepherd
• Cassandra Shepherd, PA-C
• Chelsea Shiraz Shepherd, LCSW

• Licensed Practical Nurse in New York, NY
• Providers in New York, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; 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.