Joan Bernice Shepherd
Individual provider Active NPI Registered Nurse · Patterson, NY
NPI 1942998216 · NPPES record last updated Apr 25, 2023
Key facts
- NPI
- 1942998216
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 417130 (NY)
- Practice address
- 50 Overlin Rd
Patterson, NY 12563-8950 - Phone
- (914) 483-6076
- NPI assigned
- Apr 25, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 417130 | NY | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 417130 | NY | Yes |
Addresses
Primary practice location
50 Overlin Rd
Patterson, NY 12563-8950
Mailing address
13 Harvest Hill Rd PH
Danbury, CT 06811-3524
Phone (917) 861-8002
Other providers in Patterson, NY
- Pierce ABA
- Dyane M Plunkett
- Alyce Ware Poli
- Makeeda T Rodriguez
- Danielle Schilpp
- Annmarie Shisler
- Jacqueline D. Smallwood
- Hannah Eunju Son
- Town of Patterson
- Debra L Toymil
All providers in Patterson, NY · Registered Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 25, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.