Nakiesha Lakael Shepherd, AG-ACNP-BC

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

25606 Issued in TN

Practice address

1641 Torrington Dr
Cordova, TN 38016-2357

Phone

(205) 447-1204

NPI assigned

Apr 11, 2019

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1554940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554940800000",
    "number": "1881157345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1641 TORRINGTON DR",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380162357",
            "telephone_number": "205-447-1204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1641 TORRINGTON DR",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380162357",
            "telephone_number": "205-447-1204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "NAKIESHA",
        "middle_name": "LAKAEL",
        "name_prefix": "Dr.",
        "credential": "AG-ACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-11",
        "last_updated": "2019-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TN",
            "license": "25606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lashea Shaw, MSN, APRN, PMHNP-BC
• Shaundra Shaw
• Shelby Shaw
• Molly Shearer
• Anna Sheffield, FNP
• Matthew Sheppard, D.C.
• Regina Sade Shields-Johnson
• Antonni Lashae Shingles
• Marganhally Shivaram, M.D.
• Raquel Shoats

• Acute Care Nurse Practitioner in Cordova, TN
• Providers in Cordova, TN by specialty
• Acute Care Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; 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.