Pamela Ann Shepard, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

259454-1 Issued in NY

Practice address

600 Island Cottage Rd
Rochester, NY 14612-2300

Phone

(585) 621-2446

NPI assigned

Aug 22, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Donna Soles

  • Nursing Facility/Intermediate Care Facility
  • Rochester, NY
  • NPI 1023200243
  NPD (past)

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187740800000",
    "number": "1982897963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 SUMMIT AVE",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142242212",
            "telephone_number": "716-812-1593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 ISLAND COTTAGE RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146122300",
            "telephone_number": "585-621-2446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPARD",
        "first_name": "PAMELA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-22",
        "last_updated": "2007-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "259454-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02873292",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenny Y Shen, M.D.
• Jian Shen, M.D., PH.D.
• Ming-Che Shen, PA
• Mahima Shenoi, MBBS
• Andre Shenouda, DMD
• Nicole Shepardson, PHARMD
• April Shepherd
• Robin M Sheppard, M.A.
• Tamara Nicole Sheppard, LMSW
• Todd Sheppard, MD

• Licensed Practical Nurse in Rochester, NY
• Providers in Rochester, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2007; 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.