CAITLIN SHEPPARD (NPI# 1255783445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255783445 |
| Entity Type | Individual |
| Full Name | CAITLIN SHEPPARD |
| Credential | PA |
| Practice Address |
101 E Wt Harris Blvd Ste 5002 Charlotte NC 28262-3485 |
| Mailing Address |
Po Box 19305 Charlotte NC 28219-9305 |
| Practice Telephone | 7048017310 |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2020-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0010-06583 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 705 Griffith St, Ste 100, Davidson, NC 280369304 | 7048017350 | |
| 14214 Ballantyne Lake Rd, Ste 100, Charlotte, NC 282773372 | 7046672650 | |
| 101 E W T Harris Blvd, Ste 5401, Charlotte, NC 282623485 | 7048639700 | |
| 1585 Forney Creek Pkwy, Denver, NC 280379514 | 7048017320 | |
| 16455 Statesville Rd, Ste 490, Huntersville, NC 280787135 | 7048017340 | |
| 19485 Old Jetton Rd Ste 100, Cornelius, NC 280316583 | 7043841775 |
| Street Address |
101 E WT HARRIS BLVD STE 5002 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28262-3485 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518962711 | Nancy Colette Montz | Specialist | 101 E Wt Harris Blvd, Suite 5002, Charlotte, NC 28262-3485 | 2005-06-15 |
| 1275099152 | Daina Worcester | Nurse Practitioner | 101 E Wt Harris Blvd, Building 1000 Ste 1110, Charlotte, NC 28262-3485 | 2019-02-15 |
| 1083197446 | Anna Caldwell | Nurse Practitioner | 101 E Wt Harris Blvd, Building 1000 Suite 1110, Charlotte, NC 28262-3485 | 2018-09-12 |
| 1609360239 | Tyesha Harvey | Nurse Practitioner | 101 E Wt Harris Blvd, Building 1000 Ste 1110, Charlotte, NC 28262-3485 | 2018-06-18 |
| 1366945990 | Erika Fink | Nurse Practitioner | 101 E Wt Harris Blvd, Ste 5002, Charlotte, NC 28262-3485 | 2018-03-09 |
| 1053813105 | Jacqueline Wichern | Nurse Practitioner | 101 E Wt Harris Blvd, Building 1000 Suite 1110, Charlotte, NC 28262-3485 | 2018-03-05 |
| 1215456546 | Paige Hayes | Physician Assistant | 101 E Wt Harris Blvd, Building 1000 Suite 1110, Charlotte, NC 28262-3485 | 2017-09-19 |
| 1194267815 | Jordan Brittle | Physician Assistant | 101 E Wt Harris Blvd, Building 1000 Ste 1110, Charlotte, NC 28262-3485 | 2016-11-11 |
| 1538610589 | Chadwick Smith | Nurse Practitioner | 101 E Wt Harris Blvd, Building 1000 Ste 1110, Charlotte, NC 28262-3485 | 2016-10-14 |
| 1932658697 | Jonathan Lowe | Nurse Practitioner | 101 E Wt Harris Blvd, Bldg 5000 Suite #5101, Charlotte, NC 28262-3485 | 2016-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366056913 | Aleta Michelle Johnson | Specialist | 9711 David Taylor Dr., Ste. 145, Charlotte, NC 28262 | 2020-09-01 |
| 1275161580 | Londyn Homecare Agency L.l.c | Home Health | 1914j.n. Place, Charlotte, NC 28262 | 2020-03-31 |
| 1154964914 | Abundant Love Home Care Service LLC | In Home Supportive Care | 1981 J.n. Pease Place, Ste 204, Charlotte, NC 28262 | 2019-10-24 |
| 1104399070 | Nattya S Pilgreen | Prosthetist | 410 E Mccullough Drive, Suite 103, Charlotte, NC 28262 | 2019-01-03 |
| 1114404506 | Laura Ida Anthony-getant | Social Worker | 10130 Mallard Creek Road, Ste 300 #333, Charlotte, NC 28262 | 2018-07-27 |
| 1720573587 | Carolinas Center for Ambulatory Dentistry LLC | Dentist | 8415 Medical Plaza Drice, Charlotte, NC 28262 | 2018-06-25 |
| 1598254799 | Cassandra Faye Harding | Nurse Practitioner | 1905 Jn Pease Place Suite 103, Charlotte, NC 28262 | 2018-05-03 |
| 1669960746 | Michael Riley | In Home Supportive Care | 8301 University Exec Park Dr Ste 120, Charlotte, NC 28262 | 2018-04-25 |
| 1568989804 | Bridget Coomber | Behavior Technician | 8420 University Executive Dr Ste 810, Charlotte, NC 28262 | 2017-08-28 |
| 1073037701 | Toshana Daley | Physical Therapist | 8801 Jm Keynes Blvd, Charlotte, NC 28262 | 2017-08-03 |
| Find all providers in zip 28262 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396351607 | Michael James Blackwell | Physician Assistant | 501 Billingsley Rd Ste B, Charlotte, NC 28211-1009 | 2020-09-22 |
| 1598371320 | Jonathan Byron Lively | Physician Assistant | 1000 Blythe Blvd Fl 3, Charlotte, NC 28203-5812 | 2020-09-17 |
| 1902415532 | Jacqueline Ellen Leyrer | Physician Assistant | 2630 E 7th St Ste 200, Charlotte, NC 28204-4319 | 2020-07-29 |
| 1750908380 | Whitney Debroy | Physician Assistant | 125 W Tremont Ave Unit 726, Charlotte, NC 28203-5551 | 2020-06-30 |
| 1972129302 | Ashley Nicole Short | Physician Assistant | 1022 E Worthington Ave, Charlotte, NC 28203-5760 | 2020-06-22 |
| 1558985176 | Courtney Claugus | Physician Assistant | 300 E Park Ave Unit 7, Charlotte, NC 28203-4774 | 2020-05-29 |
| 1467071738 | Patrick James Quinn | Physician Assistant | 2036 Millerton Ave Apt 4311, Charlotte, NC 28208-5290 | 2020-04-15 |
| 1225660301 | Sunil Ranchhod Ghodasara | Physician Assistant | 1001 Blythe Blvd Ste 403, Charlotte, NC 28203-5863 | 2020-02-06 |
| 1225668601 | Emily Rebecca Markey | Physician Assistant | 355 W Mlk Blvd Apt 1112, Charlotte, NC 28202-0043 | 2020-01-24 |
| 1639719586 | Abosede Elizabeth Adamson | Physician Assistant | 3101 Amesbury Hill Dr, Charlotte, NC 28269-8951 | 2020-01-08 |
| Find all providers in CHARLOTTE | ||||
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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.