Shepherd Shield Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SHEPHERD SHIELD SERVICES

Practice address

200 Lawson Chapel Church Rd
Roxboro, NC 27574-6439

Phone

(919) 583-8634

NPI assigned

Jun 26, 2009

Organization subpart

No

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

Authorized official

Name

Laura G Williams

Title

Chief Excutive Officer

Phone

(336) 583-8634

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1245974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245974400000",
    "number": "1992933071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 LAWSON CHAPEL CHURCH RD",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "275746439",
            "telephone_number": "919-583-8634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 LAWSON CHAPEL CHURCH RD",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "275746439",
            "telephone_number": "919-583-8634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEPHERD SHIELD SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-26",
        "last_updated": "2009-06-26",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CHIEF EXCUTIVE OFFICER",
        "authorized_official_telephone_number": "336-583-8634"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Destiny Lashay Seetram
• Caitlin Elissa Seidler, PA-C
• Martin Andrew Senicki, D.O.
• Christy Alexis Sergeant, ACCNS-AG
• Elizabeth Jane Sessions
• James Winn Short, M.D.
• Kathryn Whitfield Simons, MED, RD, LDN
• Lilianne R Smith, LPCA
• Timothy Lee Smith, PTA
• Charity Gentry Solomon

• Community/Behavioral Health Agency in Roxboro, NC
• Providers in Roxboro, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2009; 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.