Jacqueline Crady Shepard, CNA

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

License

CNA254629 Issued in FL

Practice address

85147 Crady Lake Dr
Yulee, FL 32097-6849

Phone

(904) 646-7576

NPI assigned

Jun 7, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Other names 1

• Mrs. Jackie Crady Shepard Other name

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": "1528329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528329600000",
    "number": "1881187672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85147 CRADY LAKE DR",
            "city": "YULEE",
            "state": "FL",
            "postal_code": "320976849",
            "telephone_number": "904-646-7576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85147 CRADY LAKE DR",
            "city": "YULEE",
            "state": "FL",
            "postal_code": "320976849",
            "telephone_number": "904-646-7576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPARD",
        "first_name": "JACQUELINE",
        "middle_name": "CRADY",
        "name_prefix": "Mrs.",
        "credential": "CNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-07",
        "last_updated": "2018-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": "FL",
            "license": "CNA254629",
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "FL",
            "license": "CNA254629",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "FL",
            "license": "CNA254629",
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "FL",
            "license": "CNA254629",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "FL",
            "license": "CNA254629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACKIE",
            "last_name": "SHEPARD",
            "middle_name": "CRADY",
            "prefix": "MRS.",
            "credential": "CNA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Woody Buchanan Schuldt, LMHC
• Kristen Schweitzer, LAT, ATC
• Cecelia Scott
• William Catlin See
• Shantell Foster
• Carley J Sheppard, MS, BCBA
• Rachel Sheppard
• Susan Shinego, PT
• Makayla Shutt
• Simplywell Specialty Pharmacy LP

• Personal Care Attendant in Yulee, FL
• Providers in Yulee, FL by specialty
• Personal Care Attendant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; 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.