ALICE LYN SHEPARD


Address: 307 Boatner Rd Ste 114, Eglin Afb, FL 32542
Phone: 8508838550

ALICE LYN SHEPARD (NPI# 1629333208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629333208
Entity Type Individual
Full Name ALICE LYN SHEPARD
Credential PNP-BC
Practice Address 307 Boatner Rd Ste 114
Eglin Afb
FL 32542
Mailing Address 307 Boatner Rd Ste 114
Eglin Afb
FL 32542-1302
Practice Telephone 8508838550
Mailing Telephone 8508838550
Enumeration Date 2012-07-10
Last Update Date 2018-08-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
AP130674 TX Physician Assistants & Advanced Practice Nursing Providers

Other Providers ALICE SHEPARD

NPI Name Taxonomy Address Enumeration
1851600258 Alice R. Shepard Psychologist 31 W 9th St, Suite 1, New York, NY 10011-9206 2010-10-02

Office Location

Street Address 307 BOATNER RD STE 114
City EGLIN AFB
State FL
Zip Code 32542

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134111453 Thomas James Cantilina Family Medicine 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 2005-08-23
1861009466 Patricia Allison Kellogg Dietitian, Registered 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 2020-09-28
1396367389 Matthew Christopher Little Student in an Organized Health Care Education/Training Program 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 2020-05-12
1750916961 Joseph Roland Adamson Student in an Organized Health Care Education/Training Program 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 2020-03-08
1447885181 Deserea Marie Shoemaker Student in an Organized Health Care Education/Training Program 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1282 2020-03-03
1457985764 Anaya Baeza Nurse Practitioner 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 2020-02-25
1043853435 Sandra K Hoffa Social Worker 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 2019-10-18
1861042624 Amy W Snow Pharmacist 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 2019-09-13
1760042501 Alison Natalie Snyder Student in an Organized Health Care Education/Training Program 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 2019-06-14
1689237232 Clint Copeland Physical Therapist 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 2019-04-19
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417440306 Colt Sicher Student in an Organized Health Care Education/Training Program 96th Dental Squadron (afmc), Eglin Afb, Fl 32542, Apo, AA 32542 2018-06-14
1841679529 Matthew Scurria Dentist 340 Boatner Rd. Bldg 2751, 96 Dental Squadron/sgdr, Eglin Afb, FL 32542 2015-05-27
1134518798 96th Medical Support Squadron Military/U.S. Coast Guard Pharmacy 3120 A. Talon Way, Eglin Afb Fld #3, FL 32542 2015-01-20
1598177123 96th Medical Support Squadron Military/U.S. Coast Guard Pharmacy 96 Medical Group Satellite Phcy Memorial Trail, Bldg. 1758, Eglin Afb, FL 32542 2014-06-02
1548602923 Gerald Jordan Novack Psychologist 96mdos/sgow, 307 Boatner Rd, Fpo, AP 32542 2013-07-25
1699112821 Taylor Anne Hahn Obstetrics & Gynecology 96th Medical Group, 307 Boatner Road, Eglin Air Force Base, FL 32542 2013-05-29
1730456948 Nicholas Brandon Sager Dentist 340 Boatner Rd, Eglin Afb, Apo, AA 32542 2011-11-17
1134402662 Jessamy Jae Thornton Student in an Organized Health Care Education/Training Program 340 Boatner Rd, Bldg 2751, Eglin Afb, FL 32542 2011-09-21
1346523974 Mary Elizabeth Sorrentino Dentist 340 Boatner Road, Blgd. 2751, Eglin Afb, FL 32542 2011-09-20
1588945612 Martin Army Community Hospital Clinic/Center 4327 North El Salvador Way, Eglin Afb, FL 32542 2011-09-02
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306830880 Wanda Davis Hoffman Nurse Practitioner 307 Boatner Rd, Suite 114, Eglin Afb, FL 32542-1391 2005-09-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1003417072 Carmen Moreno Nurse Practitioner 336 Golfview Rd Apt 909, North Palm Beach, FL 33408-3512 2020-11-05
1366043614 Christi Koshy Nurse Practitioner 4025 N Nob Hill Rd Apt 207, Sunrise, FL 33351-5811 2020-11-03
1730789322 Michelle Yen-vera Nurse Practitioner 18409 Nw 9th Ct, Pembroke Pines, FL 33029-3607 2020-11-01
1376143487 Aimee N Jorgenson Stough Nurse Practitioner 91550 Overseas Hwy Ste 209, Tavernier, FL 33070-2513 2020-10-28
1588271233 Olivia Janelle De Jong Nurse Practitioner 424 Ne 6th St Apt D, Gainesville, FL 32601-5576 2020-09-28
1801407796 Elisabeth Morley Chinlund Nurse Practitioner 445 Delmar Ter S Apt 5, Saint Petersburg, FL 33701-4653 2020-08-13
1972113025 Nicole Horn Nurse Practitioner 8095 Spyglass Hill Rd Ste 104, Melbourne, FL 32940-8290 2020-08-04
1073131850 Olivia Dawn Wilson Nurse Practitioner 5105 Clover Mist Dr, Apollo Beach, FL 33572-3417 2020-07-08
1427687565 Cortney M Starr Nurse Practitioner 2261 Kingfisher Ln, Clearwater, FL 33762-3323 2020-04-01
1285263335 Summer Leigh Moran Nurse Practitioner 528 W Baldwin Rd # A, Panama City, FL 32405-3313 2020-04-01
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Competitor

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City EGLIN AFB
Zip Code 32542

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Dataset Information

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.

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