MARK L SHEPHERD (NPI# 1154756294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154756294 |
| Entity Type | Individual |
| Full Name | MARK L SHEPHERD |
| Credential | APRN |
| Practice Address |
7926 Preston Hwy Ste. 106 Louisville KY 40219-3848 |
| Mailing Address |
Po Box 950202 Louisville KY 40295-0202 |
| Practice Telephone | 5029644357 |
| Practice Fax Number | 5029665948 |
| Mailing Telephone | 5025889490 |
| Mailing Fax Number | 5022725116 |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2019-07-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3008170 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619289196 | Mark Harrison Shepherd | Physical Therapist | 5130 Wilson Blvd # B1, Arlington, VA 22205-1169 | 2010-07-13 |
| 1154620227 | Mark M Shepherd | Physician Assistant | 1 Hospital Dr, Suite 4200, Asheville, NC 28801-4550 | 2011-03-15 |
| 1831338169 | Mark Shepherd | Case Manager/Care Coordinator | 3111 S 70th St, Fort Smith, AR 72903-5017 | 2009-02-10 |
| 1760499867 | Mark D Shepherd | Internal Medicine | 670 Crossover Rd, Tupelo, MS 38801-4944 | 2006-08-02 |
| 1154300747 | Mark Edward Shepherd Jr. | Emergency Medicine | 5955 Zeamer Ave, 673d Mdg, Jber, AK 99506-3702 | 2006-01-11 |
| Street Address |
7926 PRESTON HWY STE. 106 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40219-3848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437159480 | Kentucky Orthopedic Rehabilitation LLC | Clinic/Center | 7926 Preston Hwy, Suite 101, Louisville, KY 40219-3848 | 2005-07-29 |
| 1871053678 | Laurel Anne Robinson | Nurse Practitioner | 7926 Preston Hwy, Louisville, KY 40219-3848 | 2019-03-20 |
| 1104382399 | Leanne Marie Coleman | Nurse Practitioner | 7926 Preston Hwy, Louisville, KY 40219-3848 | 2019-02-13 |
| 1831693985 | Harkirat Mann | Internal Medicine | 7926 Preston Hwy, Louisville, KY 40219 | 2018-03-22 |
| 1033651955 | Therabilities LLC | Clinic/Center | 7926 Preston Hwy, Suite 103, Louisville, KY 40219-3848 | 2016-11-09 |
| 1871041954 | Felecia Queene Carey | Nurse Practitioner | 7926 Preston Hwy, Suite 106, Louisville, KY 40219-3848 | 2016-09-16 |
| 1134672611 | Samantha Shaver Dmd Psc | Dentist | 7926 Preston Hwy, Suite 201, Louisville, KY 40219-3848 | 2016-08-01 |
| 1467827931 | Zack R Stearns Md Orthopedic Bone & Joint Specialists Pllc | Durable Medical Equipment & Medical Supplies | 7926 Preston Hwy, Suite 103, Louisville, KY 40219-3848 | 2015-12-09 |
| 1568830347 | Jill Lascoe | Nurse Practitioner | 7926 Preston Hwy, Suite 106, Louisville, KY 40219-3848 | 2015-09-09 |
| 1386025070 | Carol Lee Darwin | Registered Nurse | 7926 Preston Hwy, Suite 106, Louisville, KY 40219-3848 | 2015-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255948154 | Kathleen B Berghausen | Nurse Practitioner | 4112 Fern Valley Rod, Louisville, KY 40219 | 2020-09-25 |
| 1174165989 | Joann Deborah Hobbs | Nurse Practitioner | 8216 Delido Rd, Louisville, KY 40219 | 2019-10-14 |
| 1962989319 | Jennifer Lynn Pinkerton | Hearing Instrument Specialist | 7326 Preston Hwy, Suite 206a, Louisville, KY 40219 | 2018-07-27 |
| 1942748447 | Melissa Freeman Emanuele | Speech-Language Pathologist | 1550 Raydale Drive, Lousville, KY 40219 | 2017-02-03 |
| 1083014013 | Christopher Maxey | Specialist/Technologist | Fern Valley Rd, Louisville, KY 40219 | 2014-08-27 |
| 1679985949 | Antwan Turner | Case Manager/Care Coordinator | 5523 Saxon Blvd, Louisville, KY 40219 | 2014-05-21 |
| 1386055168 | Kelly Larson | Case Manager/Care Coordinator | 6809 Bebe Ct., Louisville, KY 40219 | 2014-05-14 |
| 1639414626 | Prettysmilesdenturesandmorellc | Dentist | 19123 West Mcnichols Rd, Detroit, MI 40219 | 2012-12-03 |
| 1881967701 | Vickie Lynn Dixon | Homemaker | 3516 Templewood Dr., Louisville, KY 40219 | 2012-02-23 |
| 1811157555 | Tonya Lynn Frost | Chiropractor | 4300 Outer Loop Ste 10, Louisville, KY 40219 | 2008-06-16 |
| Find all providers in zip 40219 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023618535 | Pamela Nicole Kinney | Nurse Practitioner | 13503 Terrace Creek Dr Apt 203, Louisville, KY 40245-5838 | 2020-10-26 |
| 1457950883 | Tetteh Narteh | Nurse Practitioner | 10200 Linn Station Rd Ste 125, Louisville, KY 40223-3889 | 2020-10-16 |
| 1114525540 | Richard A Anane | Nurse Practitioner | 10200 Linn Station Rd Ste 300, Louisville, KY 40223-3841 | 2020-10-16 |
| 1427656081 | Elma Mustic | Nurse Practitioner | 9714 Boxford Way, Louisville, KY 40242-2305 | 2020-10-15 |
| 1679171318 | Cassandra Jane Lee | Nurse Practitioner | 3416 Imperator Ln Unit 103, Louisville, KY 40245-7752 | 2020-10-14 |
| 1942817762 | Merritt Borders | Nurse Practitioner | 1602 Hunnington Pl Apt 4, Louisville, KY 40220-3771 | 2020-09-25 |
| 1114533536 | Lyssa Alexandra Miller | Nurse Practitioner | 5120 Dixie Hwy Ste 101, Louisville, KY 40216-1775 | 2020-09-21 |
| 1174138713 | Paola Cristina Maldonado | Nurse Practitioner | 14719 Eddington Way Apt 304, Louisville, KY 40245-5581 | 2020-09-10 |
| 1033722525 | Bynisha Robertson | Nurse Practitioner | 5312 Sprigwood Ln, Louisville, KY 40291-1135 | 2020-08-25 |
| 1154931202 | Heather M Karem | Nurse Practitioner | 10207 Hartley Dr, Louisville, KY 40223-2735 | 2020-08-04 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40219 |
Please comment or provide details below to improve the information on MARK L SHEPHERD.
| 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.