JENNIFER SHEPARD (NPI# 1659700375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659700375 |
| Entity Type | Individual |
| Full Name | JENNIFER SHEPARD |
| Credential | APNP |
| Practice Address |
707 S University Ave Beaver Dam WI 53916-3027 |
| Practice Telephone | 9208876284 |
| Practice Fax Number | 9208876605 |
| Mailing Telephone | 9208876284 |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2015-11-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
5476-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417342601 | Jennifer Kaye Shepard | Internal Medicine | The University of Utah School of Medicine Dept Ofmed, 30 N 1900 E, Room 4c104, Salt Lake City, UT 84132-0001 | 2015-04-03 |
| 1467867077 | Jennifer L. Shepard | Counselor | 2221 King Ct. #5, San Luis Obispo, CA 93401 | 2014-06-23 |
| 1053348995 | Jennifer Inez Shepard | Licensed Vocational Nurse | 31st & Battalion, Bennett Health Clinic Bdg # 420, Fort Hood, TX 76544 | 2006-06-27 |
| 1437784303 | Jennifer Ashley Shepard | Psychologist | 8622 Winton Rd Ste A, Cincinnati, OH 45231-4823 | 2020-03-11 |
| 1598270753 | Jennifer Shepard | Speech-Language Pathologist | 524 E Schaumburg Rd, Schaumburg, IL 60194-3510 | 2017-12-11 |
| 1114382207 | Jennifer Shepard | Nurse Practitioner | 190 E Bannock St, Boise, ID 83712-6241 | 2015-12-16 |
| 1275949547 | Jennifer Shepard | Licensed Practical Nurse | 2121a Bellevue Rd, Dublin, GA 31021-2998 | 2014-07-08 |
| 1144529306 | Jennifer Eileen Shepard | Pediatrics | 1510 Division St, Suite 280, Oregon City, OR 97045-1581 | 2011-03-26 |
| 1184929564 | Jennifer Lynn Shepard | Pharmacist | 600 Allendale Rd, King of Prussia, PA 19406-1418 | 2011-01-17 |
| Street Address |
707 S UNIVERSITY AVE |
| City | BEAVER DAM |
| State | WI |
| Zip Code | 53916-3027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316941701 | Mary Ann Chambers | Nurse Practitioner | 707 S University Ave, Beaver Dam, WI 53916-3027 | 2005-06-13 |
| 1851901466 | Quest Diagnostics LLC Il | Pathology | 707 S University Ave, Beaver Dam, WI 53916-3027 | 2020-08-07 |
| 1700350683 | Devyn Beaugh | Pharmacist | 707 S University Ave, Beaver Dam, WI 53916-3027 | 2019-01-14 |
| 1871091207 | Ryan Patrick Gallagher | Physician Assistant | 707 S University Ave, Beaver Dam, WI 53916-3027 | 2018-01-31 |
| 1992212062 | Beaver Dam Community Hospitals Inc | Internal Medicine | 707 S University Ave, Wound Clinic, Beaver Dam, WI 53916 | 2018-01-10 |
| 1720590763 | Ellen Joyce Ellingsworth | Dietitian, Registered | 707 S University Ave, Beaver Dam, WI 53916-3027 | 2017-10-31 |
| 1265984413 | Kayla Sharpee | Physical Therapist | 707 S University Ave, Beaver Dam, WI 53916-3027 | 2016-11-03 |
| 1427506096 | Jami Nicole Burg | Physician Assistant | 707 S University Ave, Beaver Dam, WI 53916-3027 | 2016-09-13 |
| 1619420932 | Caleb Mabis | Physician Assistant | 707 S University Ave, Beaver Dam, WI 53916-3027 | 2016-08-03 |
| 1245680511 | Benjamin Williams | Physical Therapist | 707 S University Ave, Beaver Dam, WI 53916-3027 | 2016-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538718283 | Paulette Neibauer | Technician | N7262 Farwell Rd., Beaver Dam, WI 53916 | 2019-09-05 |
| 1902336597 | Tricounty Homecare Inc | In Home Supportive Care | 140 Corporate Dr Ste 2, Beaver Dam, WI 53916 | 2017-06-15 |
| 1528502754 | Jessica Marie Blatz | Counselor | 809 Park Aveune, Beaver Dam, WI 53916 | 2016-12-07 |
| 1376090886 | Beaver Dam Hearing Care, LLC | Hearing Aid Equipment | 705 University Ave, Suite 170, Beaver Dam, WI 53916 | 2016-09-01 |
| 1275902546 | Beaver Dam Community Hospitals Inc | Pharmacy | 705 S University Ave Ste 180, Beaver Dam, WI 53916 | 2015-09-17 |
| 1609242825 | Tami Joe Delisle | Counselor | 207 North Spring Street, Beaver Dam, WI 53916 | 2015-08-12 |
| 1366833394 | Beaver Dam Community Hospitals, Inc | Surgery | 705 S University Ave Ste 350, Beaver Dam, WI 53916 | 2015-02-12 |
| 1326471608 | Raquel Rodriguez-guzman | Pharmacist | 205 La Crosse Street, Beaver Dam, WI 53916 | 2013-08-09 |
| 1558608828 | Mary Y Kunz | Licensed Practical Nurse | 6550 N Highway 151 Lot 63, Beaverdam, WI 53916 | 2013-01-07 |
| 1881938454 | Brock Holden Slinger | Physical Therapist | 205 Monroe St. #13, Beaver Dam, WI 53916 | 2012-11-20 |
| Find all providers in zip 53916 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609994789 | Bluegrass Regional Healthcare | Nurse Practitioner | 1307 N Main St, Beaver Dam, KY 42320-8957 | 2007-03-27 |
| 1700872009 | Cynthia R Wilson | Nurse Practitioner | 1313 N Main St, Beaver Dam, KY 42320-8957 | 2005-09-22 |
| 1972598753 | Mary A Moore | Nurse Practitioner | 215 Corporate Dr, Suite B, Beaver Dam, WI 53916-3123 | 2005-09-16 |
| 1922000736 | Susan B Matthews | Nurse Practitioner | 1621 N Main St, Beaver Dam, KY 42320-8963 | 2005-08-11 |
| 1316941701 | Mary Ann Chambers | Nurse Practitioner | 707 S University Ave, Beaver Dam, WI 53916-3027 | 2005-06-13 |
| 1871067553 | Chris Alan Thomas II | Nurse Practitioner | 1701 N Spring St, Beaver Dam, WI 53916-1178 | 2019-01-16 |
| 1215457288 | Courtney Nicole Keller | Nurse Practitioner | 1213 N Main St, Beaver Dam, KY 42320-8955 | 2017-06-21 |
| 1972973865 | Alelea B. Hewitt | Nurse Practitioner | 1520 N Main St, Beaver Dam, KY 42320-8960 | 2015-10-05 |
| 1134530769 | Lisa Drew | Nurse Practitioner | 110 Monroe St, Beaver Dam, WI 53916-2437 | 2014-05-16 |
| 1730513243 | Dawn Debra Poull | Nurse Practitioner | 707 S University Ave, Beaver Dam, WI 53916-3027 | 2013-09-03 |
| Find all providers in BEAVER DAM | ||||
| City | BEAVER DAM |
| Zip Code | 53916 |
Please comment or provide details below to improve the information on JENNIFER SHEPARD.
| 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.