Organization Active NPI

Sheppard Anesthesia Aprn-Crna PLLC

  • Certified Registered Nurse Anesthetist
  • Yukon, OK
National Provider Identifier
1821405945
Registry record updated Jul 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R0071103 Issued in OK
Legal business name
SHEPPARD ANESTHESIA APRN-CRNA PLLC
Practice address
13127 SW 41St St
Yukon, OK 73099-0702
Phone
(405) 639-9449
NPI assigned
Jul 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2014

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

Authorized official

Name
Adam Lee Sheppard, APRN-CRNA
Title
Owner
Phone
(405) 639-9449

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X R0071103 OK Primary

Addresses

Primary practice location

13127 SW 41St St
Yukon, OK 73099-0702

Mailing address

13127 SW 41St St
Yukon, OK 73099-0702
Phone (405) 639-9449

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405900800000",
    "number": "1821405945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13127 SW 41ST ST",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730990702",
            "telephone_number": "405-639-9449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13127 SW 41ST ST",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730990702",
            "telephone_number": "405-639-9449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEPPARD ANESTHESIA APRN-CRNA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-21",
        "last_updated": "2014-07-21",
        "status": "A",
        "authorized_official_last_name": "SHEPPARD",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-639-9449",
        "authorized_official_credential": "APRN-CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OK",
            "license": "R0071103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yukon, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2014; 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.