Anna Reeves Shepherd, BCBA

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6776 Issued in NC

Practice address

5121 Kingdom Way Ste 100
Raleigh, NC 27607-6063

Phone

(800) 442-2762

NPI assigned

Jun 17, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1592352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1982220729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 KEITH WEATHERS RD",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275267477",
            "telephone_number": "336-984-0607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5121 KINGDOM WAY STE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076063",
            "telephone_number": "800-442-2762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "ANNA",
        "middle_name": "REEVES",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-17",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "6776",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NC",
            "license": "1-20-41871",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Koren Rebecca Wagner Shenk, PT, DPT
• Allisa C Shepard
• Mary C Shepard
• Robert Charles Shepard, M.D.
• Amber L Shepherd
• Kimberly M. Shepherd, MSW, P-LCSW
• Sheppard Optometry PLLC
• Cheryll Annette Sheppard, LPCA
• Jamaika Sheppard
• Jeannine Marie Sherer, CRNA

• Psychologist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.