Active NPI
Barbara Shepard
- Community Health Worker
- Hesperia, CA
National Provider Identifier
1831493303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 469
- Practice address
- 15356 Pendleton St
Hesperia, CA 92345-2534 - Phone
- (760) 488-1454
- NPI assigned
- Dec 27, 2010
- Last updated
- May 29, 2011
- 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 469 | CA | Primary |
Addresses
Primary practice location
15356 Pendleton St
Hesperia, CA 92345-2534
Mailing address
15356 Pendleton St
Hesperia, CA 92345-2534
Phone (760) 488-1454
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 469 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1293408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306627200000",
"number": "1831493303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15356 PENDLETON ST",
"city": "HESPERIA",
"state": "CA",
"postal_code": "923452534",
"telephone_number": "760-488-1454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15356 PENDLETON ST",
"city": "HESPERIA",
"state": "CA",
"postal_code": "923452534",
"telephone_number": "760-488-1454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEPARD",
"first_name": "BARBARA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-12-27",
"last_updated": "2011-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "CA",
"license": "469",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hesperia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.