Active NPI
Julie Kathleen Shepard, M.ED., CCC-A
- Audiologist
- Athens, GA
National Provider Identifier
1821208885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AUD003655
- Practice address
- 212 Carrington Dr
Athens, GA 30605-7063 - Phone
- (706) 310-7115
- Fax
- (706) 310-7116
- NPI assigned
- May 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | AUD003655 | GA | Primary |
Addresses
Primary practice location
212 Carrington Dr
Athens, GA 30605-7063
Mailing address
PO Box 82546
Athens, GA 30608-2546
Phone (706) 424-1052
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
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AUD003655 | GA | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821208885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 82546",
"city": "ATHENS",
"state": "GA",
"postal_code": "306082546",
"telephone_number": "706-424-1052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 CARRINGTON DR",
"city": "ATHENS",
"state": "GA",
"postal_code": "306057063",
"telephone_number": "706-310-7115",
"fax_number": "706-310-7116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEPARD",
"first_name": "JULIE",
"middle_name": "KATHLEEN",
"name_prefix": "Mrs.",
"credential": "M.ED., CCC-A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "GA",
"license": "AUD003655",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Athens, GA
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.