Mary Susan Shepherd, RN-RCS

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

164121030 Issued in WI

Practice address

5255 Pine Crest Rd
Rhinelander, WI 54501-9231

Phone

(715) 362-5081

NPI assigned

Oct 21, 2008

Last updated

Oct 21, 2008By the provider in NPPES

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

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224547200000",
    "number": "1992957195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5255 PINE CREST RD",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545019231",
            "telephone_number": "715-362-5081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5255 PINE CREST RD",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545019231",
            "telephone_number": "715-362-5081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "MARY",
        "middle_name": "SUSAN",
        "credential": "RN-RCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "164121030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35071600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Registered Nurse in Rhinelander, WI
• Providers in Rhinelander, WI by specialty
• Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; 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.