Active NPI
Brandi Nicole Shepard, LPN
- Licensed Practical Nurse
- Wabash, IN
National Provider Identifier
1922676337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 27064702A
- Practice address
- 20 John Kissinger Dr
Wabash, IN 46992-1648 - Phone
- (260) 274-0444
- NPI assigned
- Jun 12, 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 27064702A | IN | Primary |
Addresses
Primary practice location
20 John Kissinger Dr
Wabash, IN 46992-1648
Mailing address
1212 N 100 E
Wabash, IN 46992-7700
Phone (260) 571-8100
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 |
|---|---|---|---|
| 27064702A | IN | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623456000000",
"number": "1922676337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1212 N 100 E",
"city": "WABASH",
"state": "IN",
"postal_code": "469927700",
"telephone_number": "260-571-8100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 JOHN KISSINGER DR",
"city": "WABASH",
"state": "IN",
"postal_code": "469921648",
"telephone_number": "260-274-0444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEPARD",
"first_name": "BRANDI",
"middle_name": "NICOLE",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-12",
"last_updated": "2021-06-12",
"certification_date": "2021-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "IN",
"license": "27064702A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wabash, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.