CATHLEEN C SHEPHERD (NPI# 1710059761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710059761 |
| Entity Type | Individual |
| Full Name | CATHLEEN C SHEPHERD |
| Other Name | CATHY SHEPHERD |
| Practice Address |
2655 Dallas Hwy Sw Suite 320 Marietta GA 30064-2597 |
| Mailing Address |
2896 Knob Hill Dr Se Atlanta GA 30339-4201 |
| Practice Telephone | 4043147518 |
| Practice Fax Number | 7704343999 |
| Mailing Telephone | 7704343999 |
| Mailing Fax Number | 7704343999 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OT000009 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | BLUE CROSS BLUE SHIELD | 52171845 001 | 01 |
| GA | WELLCARE | 312669 | 01 |
| GA | BLUE CROSS BLUE SHIELD | 52171845 002 | 01 |
| GA | PEACH STATE HEALTH PLAN | 000624126C | 01 |
| GA | 000624126C | 05 | |
| GA | AMERIGROUP | 10035954 | 01 |
| GA | BLUE CROSS BLUE SHIELD | 52171845 003 | 01 |
| Street Address |
2655 DALLAS HWY SW SUITE 320 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30064-2597 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740212240 | Mohsin M. Hisamuddin | Internal Medicine | 2655 Dallas Hwy Sw, Suite 340, Marietta, GA 30064-2597 | 2006-07-06 |
| 1255867164 | Kimbro Henson Burnett | Counselor | 2655 Dallas Hwy Sw, Suite 310, Marietta, GA 30064-2597 | 2017-05-11 |
| 1790219103 | Ps Dds | Dentist | 2655 Dallas Hwy Sw, 510, Marietta, GA 30064-2597 | 2017-04-13 |
| 1851765994 | Tara Haynes Jiminez | Counselor | 2655 Dallas Hwy Sw, Suite 520, Marietta, GA 30064-2597 | 2015-11-29 |
| 1134500598 | Heidi Zaffos | Counselor | 2655 Dallas Hwy Sw, Suite 240, Marietta, GA 30064-2597 | 2015-06-11 |
| 1811323488 | Jordan Kendrick Simmons Gilligan | Speech-Language Pathologist | 2655 Dallas Hwy Sw, Suite 320, Marietta, GA 30064-7579 | 2013-09-16 |
| 1730427063 | Mark Ellison | Marriage & Family Therapist | 2655 Dallas Hwy Sw, Suite 310, Marietta, GA 30064-2597 | 2013-01-22 |
| 1003183492 | Teresa Cress | Counselor | 2655 Dallas Hwy Sw, Suite 310, Marietta, GA 30064-2597 | 2011-11-29 |
| 1518243724 | Christina Ann Hunt | Speech-Language Pathologist | 2655 Dallas Hwy Sw, Suite 320, Marietta, GA 30064-2597 | 2011-11-01 |
| 1861799629 | William Edward Adams | Counselor | 2655 Dallas Hwy Sw, Suite 610, Marietta, GA 30064-2597 | 2011-02-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043833304 | Chelsey Lewis | Pharmacist | 660 Whitlock Ave Sw, Marietta, GA 30064 | 2020-05-21 |
| 1316428527 | Candice Murray | Nurse Practitioner | 2727 Wynford Ave Sw, Marietta, GA 30064 | 2018-08-25 |
| 1427539741 | Emily Dorsey Drew | Nurse Practitioner | 3911 Mary Eliza Trce Nw Ste 200, Marietta, GA 30064 | 2018-08-24 |
| 1649765017 | Julie K Berger | Counselor | 336 Powder Springs St Suite 206, Marietta, GA 30064 | 2018-06-27 |
| 1689175291 | Anthony Bammer | Clinical Exercise Physiologist | 1001 Whitlock Avenue Nw, Marietta, GA 30064 | 2018-02-28 |
| 1831600725 | Dyniecia Barnes | Specialist | 2575 White Haven Dr Sw, Ste 100 / Salon 121, Marietta, GA 30064 | 2017-10-18 |
| 1588173298 | Michelle Ann Stich | Assistant Behavior Analyst | 376 Powder Springs St Ste 130, Marietta, GA 30064 | 2017-09-26 |
| 1194241976 | Namasine Lolice Dalrymple | Counselor | 1708 Peachtree St, Suite 300, Atlanta, GA 30064 | 2017-08-14 |
| 1245760859 | Michael H Mulkey, Dmd PC | Dentist | 3951 Mary Eliza Trace Nw, Suite 200, Marietta, GA 30064 | 2017-06-15 |
| 1700310893 | West Cobb Dentist Office, PC | Dentist | 3805 Dallas Hwy Sw, Suite 804, Marietta, GA 30064 | 2017-04-14 |
| Find all providers in zip 30064 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851916225 | Lindsay Taylor | Occupational Therapist | 4750 Outlook Way Ne, Marietta, GA 30066-1790 | 2020-06-11 |
| 1154827509 | Rebecca Ann Geller | Occupational Therapist | 792 Church St Ne Ste 104, Marietta, GA 30060-7291 | 2018-04-04 |
| 1831609767 | Lindsay Merrick South | Occupational Therapist | 2575 Oak Hill Dr, Marietta, GA 30062-1554 | 2017-10-05 |
| 1730608431 | Independent Physical Therapy of Ga, LLC | Occupational Therapist | 2100 Roswell Rd Ste 2124, Marietta, GA 30062-0874 | 2017-09-13 |
| 1245786516 | Alivia Benson | Occupational Therapist | 1615 Cobb Pkwy Nw, Apt 2007, Marietta, GA 30062-2467 | 2016-08-28 |
| 1013387976 | Oluwadamilare Aina | Occupational Therapist | 104 Augusta Dr Se, Marietta, GA 30067-8202 | 2015-10-03 |
| 1134520356 | Susan Jahn | Occupational Therapist | 1338a Colegate Dr, Marietta, OH 45750 | 2014-09-08 |
| 1518374792 | Felicia Ivey | Occupational Therapist | 439 Wallis Farm Way, Marietta, GA 30064-5462 | 2014-07-19 |
| 1023424876 | Carol Michot | Occupational Therapist | 1112 Lakefield Walk, Marietta, GA 30064-5740 | 2014-07-01 |
| 1891109831 | Wts, Inc | Occupational Therapist | 4962 Falcon Wood Ct, Marietta, GA 30066-1283 | 2014-06-18 |
| Find all providers in MARIETTA | ||||
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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.