Active NPI
Darryl Shepard, CPT
- Phlebotomy Technician
- Fort Worth, TX
National Provider Identifier
1932773165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- License
- M9A6Y2E8
- Practice address
- 5000 Savoy CT Apt 403
Fort Worth, TX 76133-6523 - Phone
- (682) 444-8786
- NPI assigned
- May 12, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Phlebotomy Technician | 246RP1900X | M9A6Y2E8 | TX | Primary |
Addresses
Primary practice location
5000 Savoy CT Apt 403
Fort Worth, TX 76133-6523
Mailing address
5000 Savoy CT Apt 403
Fort Worth, TX 76133-6523
Phone (682) 444-8786
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M9A6Y2E8 | TX | MD | Phlebotomy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620777600000",
"number": "1932773165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5000 SAVOY CT APT 403",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761336523",
"telephone_number": "682-444-8786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 SAVOY CT APT 403",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761336523",
"telephone_number": "682-444-8786"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEPARD",
"first_name": "DARRYL",
"credential": "CPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-05-12",
"last_updated": "2021-05-12",
"certification_date": "2021-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": "TX",
"license": "M9A6Y2E8",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 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.