Dawn Michelle Shepard, APRN
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Archer, FL
NPI 1992259477 · NPPES record last updated Jan 27, 2023
Key facts
- NPI
- 1992259477
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- APRN3312562 (FL)
- Practice address
- 16939 SW 134TH Ave
Archer, FL 32618-5413 - Phone
- (352) 265-2550
- Fax
- (352) 627-4785
- NPI assigned
- Aug 12, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN3312562 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Conviva Medical Center Management LLC | Past | Accepting new patients | |
| Compass Health, Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN3312562 | FL | |
| Gerontology Nurse Practitioner | 363LG0600X | APRN3312562 | FL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN3312562 | FL | Yes |
Addresses
Primary practice location
16939 SW 134TH Ave
Archer, FL 32618-5413
Mailing address
PO Box 100187
Gainesville, FL 32610-0187
Phone (352) 265-2550
Other practice location 1
410 S 11th St
Lake Wales, FL 33853-4203
Phone (863) 419-2188
Other practice location 2
300 N 7th St
Bismarck, ND 58501-4439
Phone (701) 323-6000
Other providers in Archer, FL
- Jamie Primosch
- Susan Roche
- Royal Care of Central Florida
- Susan D Schaffer
- Denise M Schentrup
- Sun Shine Home Care
- University of Florida College of Nursing Faculty Practice Associati
- Edi Ellington Walker
- Marceda Welcome
- Wade Wheeler
All providers in Archer, FL · Psychiatric/Mental Health Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 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.