DR. LAUREN TYLER SHEPHERD (NPI# 1689823924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689823924 |
| Entity Type | Individual |
| Full Name | DR. LAUREN TYLER SHEPHERD |
| Credential | PH.D. |
| Practice Address |
1700 Nw Gilman Blvd Ste 205 Issaquah WA 98027-5364 |
| Practice Telephone | 2069998778 |
| Mailing Telephone | 2069998778 |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2010-07-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
60138435 | WA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710592043 | Lauren Shepherd | Speech-Language Pathologist | 8270 Willow Oaks Corporate Dr, Fairfax, VA 22031-4530 | 2020-09-14 |
| 1043738834 | Lauren Lea Shepherd | Nurse Practitioner | 10100 E Shannon Woods St Ste 100, Wichita, KS 67226-4104 | 2017-09-01 |
| Street Address |
1700 NW GILMAN BLVD STE 205 |
| City | ISSAQUAH |
| State | WA |
| Zip Code | 98027-5364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619091121 | Michael Evan Newman | Marriage & Family Therapist | 1700 Nw Gilman Blvd Ste 205, Issaquah, WA 98027-5364 | 2007-03-19 |
| 1841814571 | Premier Pediatrics Pllc | Nurse Practitioner | 1700 Nw Gilman Blvd Ste 205, Issaquah, WA 98027-5364 | 2020-05-28 |
| 1164057345 | Seth Carl Courrege | Psychologist | 1700 Nw Gilman Blvd Ste 205, Issaquah, WA 98027-5364 | 2020-03-07 |
| 1588296172 | Natasha Ann Wills | Registered Nurse | 1700 Nw Gilman Blvd Ste 205, Issaquah, WA 98027-5364 | 2020-02-11 |
| 1871087726 | Adrian Leigh Dreher | Counselor | 1700 Nw Gilman Blvd Ste 205, Issaquah, WA 98027-5364 | 2018-06-14 |
| 1750801734 | Tana Rae Carpita | Social Worker | 1700 Nw Gilman Blvd Ste 205, Issaquah, WA 98027-5364 | 2017-06-21 |
| 1457888695 | Holly June Stafford | Nurse Practitioner | 1700 Nw Gilman Blvd Ste 205, Issaquah, WA 98027-5364 | 2017-05-18 |
| 1487094736 | Center for Child Development | Psychologist | 1700 Nw Gilman Blvd Ste 205, Issaquah, WA 98027-5364 | 2013-07-01 |
| 1851523369 | Eastside Family Institute | Psychologist | 1700 Nw Gilman Blvd Ste 205, Issaquah, WA 98027-5364 | 2009-08-17 |
| 1639316896 | Nicole R R Josephsen | Psychologist | 1700 Nw Gilman Blvd Ste 205, Issaquah, WA 98027-5349 | 2009-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780281840 | Cascade Hand & Orthopedic Rehab, Inc. | Clinic/Center | 1301 4th Avenue Nw, Suite 200, Issaquah, WA 98027 | 2020-10-01 |
| 1700494630 | Genevieve S Ward | Counselor | 22500 Se 64th Place, Building G, Suite 150, Issaquah, WA 98027 | 2020-07-16 |
| 1891338604 | Amy Mezulis | Psychologist | 1740 Nw Maple St. #210, Issaquah, WA 98027 | 2019-10-24 |
| 1578055083 | Vivian Yu-en Hsiao | Physical Therapist | 1301 4th Ave Nw Ste 300, Issaquah, WA 98027 | 2018-05-31 |
| 1831698000 | Peter James Carlson | Physical Therapist | 22500 Se 64th Place, Building G, Suite 115, Issaquah, WA 98027 | 2018-02-02 |
| 1902323553 | David Robert Primrose | Dentist | 600 Nw Gilman Blvd Ste B, Issaquah, WA 98027 | 2017-08-24 |
| 1083135446 | Tara Rose | Massage Therapist | 680 Nw Gilman Blvd., Ste. A, Issaquah, WA 98027 | 2017-07-06 |
| 1295276194 | Amy Davenport | Occupational Therapist | 1871 Nw Gilman Blvd #2, Issaquah, WA 98027 | 2017-03-13 |
| 1942751771 | Krista L Gibbons | Counselor | 1700 Nw Blvd, Suite #200, Issaquah, WA 98027 | 2016-10-17 |
| 1376903237 | Kari Wathen Torres | Occupational Therapist | 710 Nw Juniper St Ste 100, Issaquah, WA 98027 | 2016-03-03 |
| Find all providers in zip 98027 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891338604 | Amy Mezulis | Psychologist | 1740 Nw Maple St. #210, Issaquah, WA 98027 | 2019-10-24 |
| 1427249895 | Patrick Beau Reilly | Psychologist | 1871 Nw Gilman Blvd, Issaquah, WA 98027-8116 | 2007-08-09 |
| 1467501734 | John Sutton-gamache | Psychologist | 5837 221st Pl Se, Issaquah, WA 98027-8917 | 2007-01-09 |
| 1770640179 | Vivien Johnette Phillips | Psychologist | 195 Ne Gilman Blvd, Suite 202, Issaquah, WA 98027-2940 | 2007-01-03 |
| 1679658496 | Susan Katalin Toth Patiejunas | Psychologist | 1700 Nw Gilman Blvd, Suite 205, Issaquah, WA 98027-5349 | 2006-10-27 |
| 1912980343 | Susan B Sterling | Psychologist | 310 3rd Ave Ne, #122, Issaquah, WA 98027-3300 | 2005-11-21 |
| 1477535789 | Georganna R Sedlar | Psychologist | 1740 Nw Maple St Ste 210, Issaquah, WA 98027 | 2005-11-14 |
| 1164057345 | Seth Carl Courrege | Psychologist | 1700 Nw Gilman Blvd Ste 205, Issaquah, WA 98027-5364 | 2020-03-07 |
| 1942859061 | David N Porter | Psychologist | 1495 Nw Gilman Blvd Ste 11, Issaquah, WA 98027-5328 | 2019-09-11 |
| 1366913048 | Jessica Stark | Psychologist | 450 Nw Gilman Blvd Ste 201, Issaquah, WA 98027-2722 | 2018-12-06 |
| Find all providers in ISSAQUAH | ||||
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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.