Kristin Shepard

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

2950 Broad St. #1134
San Luis Obispo, CA 93401-6702

Phone

(805) 242-1067

NPI assigned

Jun 14, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Rodrigo D. Rodriguez

  • Multi-Specialty Clinic/Center
  • Aurora, CO
  • NPI 1740648187
  NPD (past)

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

{
    "created_epoch": "1560470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1952961765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 BROAD ST # 1134",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934016702",
            "telephone_number": "805-242-1061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 BROAD ST. #1134",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934016702",
            "telephone_number": "805-242-1067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPARD",
        "first_name": "KRISTIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-14",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis Joseph Shehan
• Dara Sheik
• Kate Sheldon
• Margaret Victoria Shepard-Moore
• Jennifer L. Shepard
• Jeri J Shepherd, D.D.S.
• Larry James Sherfield, LCSW
• Charlene A Sheridan, N.P.
• Mark D Sherman, MD
• Cynthia Shibutani

• Occupational Therapist in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.