Active NPI
Krista Michele Shepherd, RN
- Long-Term Care Clinical Nurse Specialist
- Mount Washington, KY
National Provider Identifier
1861069429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long-Term Care Clinical Nurse Specialist
- License
- 1129569
- Practice address
- 119 E Sanders LN
Mount Washington, KY 40047-7557 - Phone
- (502) 251-3821
- Fax
- (502) 251-3822
- NPI assigned
- Jun 10, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Long-Term Care Clinical Nurse Specialist | 364SL0600X | 1129569 | KY | Primary |
Addresses
Primary practice location
119 E Sanders LN
Mount Washington, KY 40047-7557
Mailing address
431 Webb LN
Taylorsville, KY 40071-6796
Phone (502) 321-2449
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1129569 | Other | KY | LICENSE NUMBER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | krista.shepherd@sandersridgehc.com | Direct | Trilogy Healthcare of Bullitt, LLC |
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1129569 | KY | MD | Long-Term Care Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623283200000",
"number": "1861069429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "431 WEBB LN",
"city": "TAYLORSVILLE",
"state": "KY",
"postal_code": "400716796",
"telephone_number": "502-321-2449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 E SANDERS LN",
"city": "MOUNT WASHINGTON",
"state": "KY",
"postal_code": "400477557",
"telephone_number": "502-251-3821",
"fax_number": "502-251-3822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEPHERD",
"first_name": "KRISTA",
"middle_name": "MICHELE",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-10",
"last_updated": "2021-06-10",
"certification_date": "2021-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "364SL0600X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Long-Term Care",
"state": "KY",
"license": "1129569",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "1129569",
"state": "KY"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "krista.shepherd@sandersridgehc.com",
"affiliation": "Y",
"endpointDescription": "work email",
"affiliationName": "Trilogy Healthcare of Bullitt, LLC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "work email",
"address_1": "119 E Sanders Ln",
"city": "Mount Washington",
"state": "KY",
"country_code": "US",
"postal_code": "400477557",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Mount Washington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.