Elizabeth Dale Shepherd, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

023063 Issued in AL

Practice address

101 Hospital Drive
Luverne, AL 36049-7344

Phone

(334) 335-3374

Fax

(334) 335-1119

NPI assigned

Jan 26, 2007

Last updated

May 26, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Dale Shepherd Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306368000000",
    "number": "1982750386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5303 VAUGHN ROAD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361161120",
            "telephone_number": "334-386-0343",
            "fax_number": "334-386-0382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HOSPITAL DRIVE",
            "city": "LUVERNE",
            "state": "AL",
            "postal_code": "360497344",
            "telephone_number": "334-335-3374",
            "fax_number": "334-335-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "ELIZABETH",
        "middle_name": "DALE",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2011-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "023063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DALE",
            "last_name": "SHEPHERD",
            "prefix": "MRS.",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Professional Resources Management Psychiatric Services, LLC (Beacon Behavioral Hospital)
• Donna Jo Ring, MSOTR/L
• James Thomas Sanders, DMD
• Donita Elaine Setters, PHARMD
• Jana Allen Shelton, OTR/L
• Susannah Sport
• State of Alabama
• State of Alabama Department of Public Health
• State of Alabama Department of Public Health (Crenshaw County Health Dept Flu-Pneu)
• Dajuna Tatom, C.R.N.P.

• Certified Registered Nurse Anesthetist in Luverne, AL
• Providers in Luverne, AL by specialty
• Certified Registered Nurse Anesthetist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2011; 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.