JORDAN SHEPPARD (NPI# 1083162382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083162382 |
| Entity Type | Individual |
| Full Name | JORDAN SHEPPARD |
| Practice Address |
5 Eternity Ct Germantown MD 20874-6103 |
| Practice Telephone | 2407509495 |
| Mailing Telephone | 2407509495 |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2016-09-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407470065 | Jordan Sheppard | Behavior Technician | 1855 2nd St Ste B, Concord, CA 94519-2623 | 2020-05-29 |
| 1174174304 | Jordan Gregory Sheppard | Pharmacist | 1249 15th St, Huntington, WV 25701-3662 | 2019-09-29 |
| Street Address |
5 ETERNITY CT |
| City | GERMANTOWN |
| State | MD |
| Zip Code | 20874-6103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033768973 | Lauren Grace Dovin | Speech-Language Pathologist | 18501 Cinnamon Dr. Germantown, Germantown, MD 20874 | 2019-09-04 |
| 1578119376 | Kevin Crippen | Speech-Language Pathologist | Seneca Valley High School, 19401 Crystal Rock Drive, Germantown, MD 20874 | 2019-08-16 |
| 1245700830 | Heather Macvean | Behavioral Analyst | 18100 Chalet Dr Apt 301, Germantown, MD 20874 | 2018-11-27 |
| 1811414014 | Wanai Sen Kum | Pharmacist | 12825 Westeria Drive, Germantown, MD 20874 | 2017-08-28 |
| 1417409160 | Bornfree Wellness Centers of America | Substance Abuse Rehabilitation Facility | 19537 Doctor's Drive, Germantown, MD 20874 | 2016-10-28 |
| 1396119210 | Darling St Louis | Social Worker | 18936 Port Haven Pl, Germantown, MD 20874 | 2015-11-16 |
| 1003289067 | Olayiwola O Oloko | Home Health Aide | 19300 Circle Gate Dr #201, Germantown, MD 20874 | 2015-11-12 |
| 1831562446 | Joanne Croos | Physical Therapist | 13905 Briarwick St, Germantown, MD 20874 | 2015-11-04 |
| 1255717070 | Caring Health Services Inc | Case Management | 12312 Quail Woods Dr, Germantown, MD 20874 | 2015-08-04 |
| 1184007817 | Mobile Medical Care, Inc. | Clinic/Center | 981 Rollins Ave., Rockville, MD 20874 | 2015-06-30 |
| Find all providers in zip 20874 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568080505 | Gregory L Johnson | Student in an Organized Health Care Education/Training Program | W165n10212 Wagon Trl, Germantown, WI 53022-4747 | 2020-07-07 |
| 1104447994 | Joshua Kyle Rosenthal | Student in an Organized Health Care Education/Training Program | 21 Birdseye Ct, Germantown, MD 20874-1961 | 2020-05-03 |
| 1770119687 | Jennifer Jernberg | Student in an Organized Health Care Education/Training Program | N120w12908 Freistadt Rd, Germantown, WI 53022-2219 | 2020-03-23 |
| 1134784283 | Megan Cantwell | Student in an Organized Health Care Education/Training Program | N104w15942 Hedge Way, Germantown, WI 53022-4195 | 2019-05-03 |
| 1487137659 | Kelsey Kitchel | Student in an Organized Health Care Education/Training Program | 169 S Walnut St, Germantown, OH 45327-1250 | 2018-09-12 |
| 1073024824 | Renee Susanne Sirulnik | Student in an Organized Health Care Education/Training Program | 13552 Ansel Ter, Germantown, MD 20874-3450 | 2017-10-19 |
| 1801307277 | Quinn Patrick Armitage | Student in an Organized Health Care Education/Training Program | N120w13596 Freistadt Rd, Germantown, WI 53022-2108 | 2017-10-12 |
| 1932529195 | Leah John | Student in an Organized Health Care Education/Training Program | 2679 Sweet Oaks Cir, Germantown, TN 38138-6253 | 2014-04-25 |
| 1225472095 | Betty Boyoon Kim | Student in an Organized Health Care Education/Training Program | 13424 Walnutwood Lane, Germantown, MD 20874 | 2013-04-24 |
| 1497017198 | Nathan Adam Moss Sr. | Student in an Organized Health Care Education/Training Program | 12928 Mccubbin Ln, Germantown, MD 20874-6306 | 2012-06-09 |
| Find all providers in GERMANTOWN | ||||
| City | GERMANTOWN |
| Zip Code | 20874 |
Please comment or provide details below to improve the information on JORDAN SHEPPARD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.