MARY ALICE SHEPARD (NPI# 1669485165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669485165 |
| Entity Type | Individual |
| Full Name | MARY ALICE SHEPARD |
| Credential | M.D. |
| Practice Address |
2211 E Mill Plain Blvd Vancouver WA 98661-4329 |
| Mailing Address |
Po Box 65010 Vancouver WA 98665-0001 |
| Practice Telephone | 3604186001 |
| Practice Fax Number | 1304186008 |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
WA MD00023639 | WA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376100388 | Mary Shepard | Technician | 1350 E M 21, Owosso, MI 48867-8000 | 2019-05-24 |
| 1275942054 | Mary Shepard | Dental Hygienist | 438 Main St, Suite 204, Middletown, CT 06457-3396 | 2014-08-06 |
| 1639595648 | Mary Jane Shepard | Registered Nurse | 1070 Heckle Blvd, 307, Rock Hill, SC 29732-2853 | 2014-03-14 |
| 1790078301 | Mary C Shepard | Technician | 4913 Professional Ct, Raleigh, NC 27609-4913 | 2011-05-16 |
| 1841323011 | Mary Shepard | Occupational Therapist | 12110 Clayton Rd, Saint Louis, MO 63131-2516 | 2007-03-14 |
| 1730131335 | Mary M Shepard | Nurse Practitioner | 1415 California St, Houston, TX 77006-2602 | 2006-05-16 |
| Street Address |
2211 E MILL PLAIN BLVD |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98661-4329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316935752 | Cathleen J Miller | Psychiatry & Neurology | 2211 E Mill Plain Blvd, Kaiser Permanente Vancouver Medical Office, Vancouver, WA 98661-4329 | 2005-10-10 |
| 1144563693 | Emily Stover | Respiratory Therapist, Registered | 2211 E Mill Plain Blvd, Vancouver, WA 98661-4329 | 2013-04-03 |
| 1427333004 | Jennifer Delzer | Pharmacist | 2211 E Mill Plain Blvd, Vancouver, WA 98661-4329 | 2011-10-14 |
| 1750535720 | Kaiser Foundation Health Plan of The Northwest | Clinical Medical Laboratory | 2211 E Mill Plain Blvd, Vancouver, WA 98661-4329 | 2008-11-04 |
| 1861658122 | Kerry Elizabeth Martinson | Dietitian, Registered | 2211 E Mill Plain Blvd, Vancouver, WA 98661-4329 | 2008-08-05 |
| 1942460167 | John M Roberts | Surgery | 2211 E Mill Plain Blvd, Vancouver, WA 98661-4329 | 2008-06-11 |
| 1447383013 | Hyatt Kewhwan Yu | Social Worker | 2211 E Mill Plain Blvd, Vancouver, WA 98661-4329 | 2007-03-13 |
| 1740355403 | Joshua Herbert Nelson | Internal Medicine | 2211 E Mill Plain Blvd, Vancouver, WA 98661-4329 | 2006-11-21 |
| 1366512246 | Kelly Dee Rutherford | Family Medicine | 2211 E Mill Plain Blvd, Vancouver, WA 98661-4329 | 2006-11-08 |
| 1073690665 | Dale Francis Lamberton | Internal Medicine | 2211 E Mill Plain Blvd, Vancouver, WA 98661-4329 | 2006-11-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982228417 | Cynthia Ann Holt | Social Worker | 4608 Ne 47 Street, Vancouver, WA 98661 | 2020-06-01 |
| 1235793027 | James Dostert | Counselor | 1601 E 4th Blvd. Bldg. 17, Ste A212, Vancouver, WA 98661 | 2019-04-26 |
| 1306305289 | Kathryn Susanne Scott | Social Worker | Attn: Kathryn Scott, V3cnh, 1601 E. Fourth Plain Blvd., Vancouver, WA 98661 | 2019-03-19 |
| 1952860637 | Alice Rogers | Occupational Therapist | Vancouver Public Schools, 2901 Falk Rd., Vancouver, WA 98661 | 2019-03-13 |
| 1053878538 | Paula Moore | Counselor | 9626 Ne Fourth Plain Blvd, Vancouver, WA 98661 | 2019-02-21 |
| 1558825729 | Cassandra Marie Nichols | Counselor | 1601 E 4th Blvd, Vancouver, WA 98661 | 2019-01-22 |
| 1548734148 | Lisa Kelly | Counselor | 1601 E 4th Blvd., Vancouver, WA 98661 | 2019-01-16 |
| 1518444025 | Columbia Pharmacy | Pharmacy | 2700 Ne Andresen Rd Ste E3, Vancouver, WA 98661 | 2018-07-26 |
| 1023505229 | Ellen Barbour | Counselor | 1601 E 4th Plain Blvd Bldg. 17, Ste A212, Vancouver, WA 98661 | 2018-04-13 |
| 1679096325 | Brian Scott Coleman | Counselor | 1601 East Fourth Plain Blvd., Bldg #17, Ste. A212, Vancouver, WA 98661 | 2017-07-24 |
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| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851596837 | Dawnrenee Cinocco | Internal Medicine | 2100 Se 187th Ave, Vancouver, WA 98683-9740 | 2007-06-19 |
| 1477658961 | Wendy Ann Wanlass | Internal Medicine | 1603 Fourth Plain Blvd, Va Medical Center Nscu, Vancouver, WA 98661 | 2006-09-13 |
| 1124465901 | Jessica K Chan | Internal Medicine | 700 Ne 87th Ave, Vancouver, WA 98664-1913 | 2013-06-03 |
| 1407181217 | Dr. Dawnrenee Cinocco Md Pllc | Internal Medicine | 2100 Se 187th Ave, Vancouver, WA 98683-9740 | 2009-10-12 |
| 1982861779 | Jean Yoo Campbell | Internal Medicine | 2101 Ne 139th St, Suite 460, Vancouver, WA 98686-2309 | 2008-05-20 |
| 1235249145 | Rima Huda Jallad | Internal Medicine | 1603 E Fourth Plain Blvd, Vancouver, WA 98661-3753 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619507662 | 6m Geriatrics & Hospital Medicine | Internal Medicine | 620 Terry Ave Unit 202, Seattle, WA 98104-2020 | 2020-01-17 |
| 1164072765 | Vm Provision Care LLC | Internal Medicine | 3640 S Cedar St Ste O, Tacoma, WA 98409-5700 | 2019-09-16 |
| 1285977983 | Martha and Mary Lutheran Services | Internal Medicine | 19160 Front Street Ne, Poulsbo, WA 98370-0127 | 2013-04-01 |
| 1285995365 | Jazmin Ivette Yepez Kuri | Internal Medicine | 1200 N 14th Ave Ste 300, Our Lady of Lourdes Hospital At Pasco, Pasco, WA 99301-4195 | 2012-06-05 |
| 1851684914 | Lissette Ramirez Suero | Internal Medicine | 560 Gage Blvd Ste 203, Kadlec Clinic Senior Health, Richland, WA 99352-8650 | 2011-05-24 |
| 1568751097 | Delia Lee Takagi | Internal Medicine | 560 Gage Blvd Suite 102, Richland, WA 99325 | 2011-04-05 |
| 1780982694 | Shirley Newell | Internal Medicine | 1126 38th Ave E, Seattle, WA 98112-4434 | 2011-03-02 |
| 1407088016 | Daniel Raskind Md Pllc | Internal Medicine | 5320 135th Pl Se, Bellevue, WA 98006-4238 | 2009-08-14 |
| 1497953947 | Diane A. Faran | Internal Medicine | 9040 Jacksonave, Tacoma, WA 98431-2306 | 2007-07-06 |
| 1518164052 | Elaine Liu | Internal Medicine | 4515 Martin Luther King Jr Way S Ste 100, Seattle, WA 98108-2183 | 2007-06-28 |
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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.