Individual provider Active NPI

Cynthia Shepherd

  • Nurse Practitioner
  • Auburn, IN
National Provider Identifier
1912435058
Registry record updated Oct 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71007311A Issued in IN
Practice address
5419 County Road 427
Auburn, IN 46706-9504
Phone
(260) 333-5105
NPI assigned
Jun 2, 2017
Last updated
Oct 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71007311A IN Primary

Addresses

Primary practice location

5419 County Road 427
Auburn, IN 46706-9504

Mailing address

5419 County Road 427
Auburn, IN 46706-9504
Phone (260) 333-5105

Other practice location 1

3915 W Oglesby Ave
Gurnee, IL 60031-3358
Phone (847) 672-1215

Other practice location 2

454 E DuPont Rd
Fort Wayne, IN 46825-2050
Phone (260) 370-8227

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71007311AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allendale Academy LLC CurrentSince Jul 23, 2023 Accepting new patients
Allendale LLC CurrentSince Jul 23, 2023 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

5419 County Road 427
Auburn, IN 46706
Phone (260) 333-5105

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1496361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792540800000",
    "number": "1912435058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5419 COUNTY ROAD 427",
            "city": "AUBURN",
            "state": "IN",
            "postal_code": "467069504",
            "telephone_number": "260-333-5105",
            "fax_number": "260-333-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5419 COUNTY ROAD 427",
            "city": "AUBURN",
            "state": "IN",
            "postal_code": "467069504",
            "telephone_number": "260-333-5105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3915 W Oglesby Ave",
            "address_purpose": "LOCATION",
            "city": "Gurnee",
            "state": "IL",
            "postal_code": "600313358",
            "country_code": "US",
            "telephone_number": "847-672-1215",
            "fax_number": "847-496-8723",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "454 E DuPont Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468252050",
            "country_code": "US",
            "telephone_number": "260-370-8227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "CYNTHIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-02",
        "last_updated": "2026-10-21",
        "certification_date": "2026-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71007311A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2026; 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.