DELISA SHEPHERD (NPI# 1083162929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083162929 |
| Entity Type | Individual |
| Full Name | DELISA SHEPHERD |
| Practice Address |
3050 Washtenaw Ave Studio 9 Ann Arbor MI 48104-5160 |
| Practice Telephone | 7344300866 |
| Mailing Telephone | 7344300866 |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2016-09-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
2701138363 | MI | Other Service Providers |
| Street Address |
3050 WASHTENAW AVE STUDIO 9 |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48104-5160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336603927 | Julie Corey | Counselor | 2604 Brockman Blvd, Ann Arbor, MI 48104 | 2019-01-28 |
| 1003301045 | Ann Arbor Pharmacy LLC | Pharmacy | 2418 E Stadium Blvd, Ann Arbor, MI 48104 | 2018-06-22 |
| 1811499304 | Melissa L Wright | Physical Therapist | 2850 S Industrial Hwy Suite 200, Ann Arbor, MI 48104 | 2018-03-01 |
| 1689180226 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3500 Washtenaw Ave Ste E3, Ann Arbor, MI 48104 | 2017-12-19 |
| 1861911547 | Jonathen Ross | Social Worker | 500 E. Washington St., Ste 100a, Ann Arbor, MI 48104 | 2017-09-14 |
| 1275058521 | Emily Lauren Hanna | Social Worker | 214 S. Main Street, Suite # 206, Ann Arbor, MI 48104 | 2017-08-08 |
| 1073035457 | Raynaldo Juaquin Valdez | Specialist/Technologist | 500 E. Hoover Ave, Ann Arbor, MI 48104 | 2017-07-07 |
| 1912436908 | Alison Nicole Tseng | Dentist | 2301 Platt Rd Ste 200, Ann Arbor, MI 48104 | 2017-06-05 |
| 1528593183 | Hillary Baldwin Steller, Lmsw,llc | Social Worker | 715-717 E. Huron St, Suite 2e, Ann Arbor, MI 48104 | 2017-04-20 |
| 1013360973 | Teresa Myers | Massage Therapist | 2230 Washtenaw Ave, Suite 101, Ann Arbor, MI 48104 | 2016-07-15 |
| Find all providers in zip 48104 | ||||
| Taxonomy Code | 1744P3200X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Prosthetics Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487805636 | Bradley Doran Harris | Specialist | 2215 Fuller Rd., Va Medical Center - 121, Ann Arbor, MI 48105 | 2008-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699375915 | Derrick Darnell Gills | Specialist | 29935 Northwestern Hwy, Southfield, MI 48034-1020 | 2020-10-27 |
| 1609473511 | Laverne Denise Williams | Specialist | 19504 Steel St, Detroit, MI 48235-1240 | 2020-10-04 |
| 1619586682 | Saundranita Rezia Powe | Specialist | 5642 W Maple Rd Ste 15, West Bloomfield, MI 48322-3795 | 2020-07-27 |
| 1184232829 | Marlena Young | Specialist | 20141 Bramford St, Detroit, MI 48234-3201 | 2020-07-20 |
| 1770102725 | Nekia Morris Cutright | Specialist | 29584 Howard Ave, Madison Heights, MI 48071-2587 | 2020-04-09 |
| 1871122366 | I Am Ashley Monae Collection LLC | Specialist | 29746 Southfield Rd Ste 204, Southfield, MI 48076-2088 | 2020-04-06 |
| 1427695857 | Frederick Henry Moore Jr. | Specialist | 14000 Lakeside Cir, Sterling Heights, MI 48313-1320 | 2019-12-04 |
| 1982269320 | Shaana Whiteside | Specialist | 33423 Woodward Ave, Birmingham, MI 48009-0907 | 2019-05-01 |
| 1740844943 | Daniel Herrera Iv | Specialist | 5560 State St, Saginaw, MI 48603-3496 | 2019-04-24 |
| 1578023149 | Tyrus Wright | Specialist | 27208 Southfield Rd Ste 3, Lathrup Village, MI 48076-7912 | 2019-03-21 |
| Find all providers with the same taxonomy | ||||
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| 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.