PATRICK BOYD SHEPHERD (NPI# 1164757100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164757100 |
| Entity Type | Individual |
| Full Name | PATRICK BOYD SHEPHERD |
| Credential | RD |
| Practice Address |
1350 N 500 E Logan UT 84341-2400 |
| Mailing Address |
Po Box 27128 Salt Lake City UT 84127-0128 |
| Practice Telephone | 4357921703 |
| Practice Fax Number | 4357921647 |
| Mailing Telephone | 4357921703 |
| Mailing Fax Number | 4357921647 |
| Enumeration Date | 2009-10-08 |
| Last Update Date | 2009-10-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 7141545-4901 | UT | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629561493 | Patrick Gorman Shepherd | Nurse Practitioner | 65 Center Ave, Whitley City, KY 42653 | 2018-06-07 |
| 1972896157 | Patrick Chad Shepherd | Pediatrics | 726 N Medical Center Dr E Ste 209, Clovis, CA 93611-6886 | 2011-05-23 |
| 1457429995 | Patrick P Shepherd | Dentist | 2860 S Seacrest Blvd, Boynton Beach, FL 33435 | 2006-12-01 |
| Street Address |
1350 N 500 E |
| City | LOGAN |
| State | UT |
| Zip Code | 84341-2400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295707677 | Corey Wyn Walker | Internal Medicine | 1350 N 500 E, Logan, UT 84341-2400 | 2006-02-01 |
| 1790315281 | Stacy Hepner | Advanced Practice Midwife | 1350 N 500 E, Logan, UT 84341-2400 | 2020-01-23 |
| 1083265029 | Amanda E Stott | Family Medicine | 1350 N 500 E, Logan, UT 84341-2400 | 2019-09-20 |
| 1093375727 | Kristiana Hales | Pharmacist | 1350 N 500 E, Logan, UT 84341-2400 | 2019-06-14 |
| 1376033456 | Deven Willardson | Nurse Practitioner | 1350 N 500 E, Logan, UT 84341-2400 | 2018-05-15 |
| 1154826618 | Ihc Health Services Inc | Clinic/Center | 1350 N 500 E, Logan, UT 84341-2400 | 2018-03-27 |
| 1801303003 | Becky Jean Rasmuson | Nurse Practitioner | 1350 N 500 E, Logan, UT 84341 | 2018-01-09 |
| 1558722900 | Ihc Health Services Inc | Family Medicine | 1350 N 500 E, Logan, UT 84341-2400 | 2016-03-14 |
| 1326420639 | Brian Ralph Balls | Physical Therapy Assistant | 1350 N 500 E, Suite 120, Logan, UT 84341-2400 | 2015-06-23 |
| 1073994810 | Benjamin Seale | Physician Assistant | 1350 N 500 E, Logan, UT 84341-2400 | 2015-06-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538701529 | Aubrey Salmond | Registered Nurse | 500 East 1500 N, Logan, UT 84341 | 2019-10-11 |
| 1043702046 | Eye Pros of Logan LLC | Optometrist | 1475 N Main St Ste 103, Logan, UT 84341 | 2018-06-05 |
| 1275050452 | Rylie Jeanne Cook | Student in an Organized Health Care Education/Training Program | 11 Aggie Village Apt. J, Logan, UT 84341 | 2017-08-28 |
| 1093262156 | Jessica Lynn Mcgarry | Social Worker | 1040 N 130 W, Apt 100, Logan, UT 84341 | 2016-09-07 |
| 1740663566 | Paul R Gregory | Occupational Therapy Assistant | 1300 N 500 E Suite 120, Suite 120, Logan, UT 84341 | 2015-06-30 |
| 1851708846 | Bradley Budge | Optometrist | 535 E 1400 N Ste 130, Logan, UT 84341 | 2014-07-22 |
| 1386058709 | Daniel Raymond Carlson | Physician Assistant | 500 E. 1400 N., Logan, UT 84341 | 2014-06-13 |
| 1902220239 | Work Injury Solutions Inc. | Clinic/Center | 630 E 1400 N Ste 140, Logan, UT 84341 | 2014-02-06 |
| 1750627287 | Lee Martin Williams Sr. | Counselor | 186 E. 1800 N., North Logan, UT 84341 | 2013-01-03 |
| 1669747804 | Ronald J Payne | Internal Medicine | 1726 North 1850 East, North Logan, UT 84341 | 2012-03-21 |
| Find all providers in zip 84341 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144867664 | Tamara Steinitz | Dietitian, Registered | 65 Heritage Cv, Logan, UT 84321-3300 | 2019-12-03 |
| 1013376268 | Janalee J Greene | Dietitian, Registered | 1034 Rsi Dr, Unit 100, Suite E, Logan, UT 84321-2203 | 2016-02-16 |
| 1447627484 | Alyssa Shaelyn Reidhead | Dietitian, Registered | 764 N 100 W, #2, Logan, UT 84321-8006 | 2015-08-25 |
| 1740523489 | Jessie Geniel Parker | Dietitian, Registered | 226 E 500 N, Logan, UT 84321-4129 | 2013-04-01 |
| 1871699140 | Sheryl Swain Aguilar | Dietitian, Registered | 1520 Mountain Rd, Logan, UT 84321-6761 | 2006-09-15 |
| 1962967463 | Alicia Woods | Dietitian, Registered | 30381 Chieftain Dr, Logan, OH 43138-9092 | 2019-02-08 |
| 1639659543 | Angelee Hancey | Dietitian, Registered | 1400 N 500 E, Logan, UT 84341-2455 | 2018-08-20 |
| 1831697119 | Rachel Taylor Rood | Dietitian, Registered | 965 S 100 W Ste 204, Logan, UT 84321-6072 | 2018-01-31 |
| 1831603893 | Jennie Murri | Dietitian, Registered | 655 E 1300 N, Logan, UT 84341-2570 | 2017-11-28 |
| 1992231534 | Laycee Mozingo | Dietitian, Registered | 1400 N 500 E, Logan, UT 84341-2455 | 2017-05-02 |
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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.