AGNES SHEPARD (NPI# 1609288430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609288430 |
| Entity Type | Individual |
| Full Name | AGNES SHEPARD |
| Credential | FNP-BC |
| Practice Address |
3300 Center St Deer Park TX 77536-5058 |
| Mailing Address |
3400 Civic Center Blvd Fl 2 Philadelphia PA 19104-5127 |
| Practice Telephone | 6092133772 |
| Mailing Telephone | 6092133772 |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2016-12-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
SP016684 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3300 CENTER ST |
| City | DEER PARK |
| State | TX |
| Zip Code | 77536-5058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619994134 | Julio F Garza | Physician Assistant | 3300 Center St, Deer Park, TX 77536-5058 | 2006-07-17 |
| 1851761340 | Ashley D. Powell | Nurse Practitioner | 3300 Center St, Deer Park, TX 77536-5058 | 2015-09-28 |
| 1083019384 | Jayla Bennett | Pharmacist | 3300 Center St, Deer Park, TX 77536-5058 | 2014-10-29 |
| 1811314669 | Gianni Baham Williams | Pharmacist | 3300 Center St, Deer Park, TX 77536-5058 | 2014-03-18 |
| 1467734772 | Dedra Lynnette Williams | Pharmacist | 3300 Center St, Deer Park, TX 77536-5058 | 2011-09-13 |
| 1144558164 | Long Nguyen | Pharmacist | 3300 Center St, Deer Park, TX 77536-5058 | 2009-12-02 |
| 1588992598 | Faheem Razzak | Pharmacist | 3300 Center St, Deer Park, TX 77536-5058 | 2009-12-02 |
| 1073841102 | Brian Harding | Pharmacist | 3300 Center St, Deer Park, TX 77536-5058 | 2009-12-01 |
| 1144558347 | Suja Mariamma Rajan | Pharmacist | 3300 Center St, Deer Park, TX 77536-5058 | 2009-11-27 |
| 1295977676 | Elizabeth Delacy Baird | Physician Assistant | 3300 Center St, Deer Park, TX 77536-5058 | 2009-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053965590 | Maria Conchita Fernandez Cuadrado | Physical Therapist | 3710 Center St Suite 102 Suite 102, Deer Park, TX 77536 | 2019-08-01 |
| 1013480961 | Eclipse Massage Therapy | Radiologic Technologist | 4321 Center St., Deer Park, TX 77536 | 2019-01-03 |
| 1952752750 | Denise Evelyn Bach | Nurse Practitioner | 5900 Highway 225 East, Shell Oil Company, Deer Park, TX 77536 | 2016-06-23 |
| 1194103739 | H-e-b, Lp | Clinical Medical Laboratory | 4701 East Blvd, Deer Park, TX 77536 | 2015-05-15 |
| 1053711408 | Leo Martinez I | Specialist/Technologist, Other | 602 Bayou Vista Dr, Deer Park, TX 77536 | 2014-09-03 |
| 1942588389 | Jacquetta Monae Davis | Dentist | 9001 Spencer Hwy Suite J, Deer Park, TX 77536 | 2011-08-03 |
| 1164745550 | Cenikor Foundation | Case Management | 4525 Glenwood Avenue, Deer Park, TX 77536 | 2010-03-12 |
| 1760670079 | Julia V Douglass Meadows | Counselor | 4650 Center Street, Deer Park, TX 77536 | 2007-10-11 |
| 1912035189 | Andrew Sparks Metz | Family Medicine | 2910 Center St., Deer Park, TX 77536 | 2007-03-01 |
| 1275690620 | Jack Quentin Cash Jr. | Dentist | 302 Center Street, Deer Park, TX 77536 | 2007-01-03 |
| Find all providers in zip 77536 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164996039 | Celeste Johnson | Nurse Practitioner | 151 Sammis Ave, Deer Park, NY 11729-6719 | 2019-01-14 |
| 1679043574 | Deborah Denise Finch | Nurse Practitioner | 805 Harvard St, Deer Park, TX 77536-3217 | 2018-12-04 |
| 1326590373 | Tiffany George | Nurse Practitioner | 1401 Hoover Dr, Deer Park, TX 77536-5156 | 2016-10-25 |
| 1649629171 | Stephanie Parlapiano | Nurse Practitioner | 174 W 21st St, Deer Park, NY 11729-4806 | 2016-06-06 |
| 1881077014 | Nathaniel Saintus | Nurse Practitioner | 34 Oregon St, Deer Park, NY 11729-2533 | 2015-07-07 |
| 1366872145 | Dlana Michelle Hitt | Nurse Practitioner | 1302 Comanche St, Deer Park, TX 77536-4365 | 2013-11-15 |
| 1386987329 | Ana Bermea | Nurse Practitioner | 2617 Henderson Ln, Deer Park, TX 77536-4809 | 2013-03-28 |
| 1134303142 | Jane Hague | Nurse Practitioner | 4090 E Galbraith Road, Deer Park, OH 45236 | 2007-12-27 |
| 1578622817 | Byron Corrie Glenn | Nurse Practitioner | 401 S. Main Ave, Deer Park, WA 99006 | 2006-12-06 |
| 1679581276 | Jeffrey N Burnham | Nurse Practitioner | 702 S Park, Deer Park, WA 99006 | 2006-08-03 |
| Find all providers in DEER PARK | ||||
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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.