KRISTEN L SHEPPARD (NPI# 1710267828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710267828 |
| Entity Type | Individual |
| Full Name | KRISTEN L SHEPPARD |
| Other Name | KRISTEN L KAUFMAN |
| Credential | APN |
| Practice Address |
220 N Sidney Ave Russellville AR 72801-4389 |
| Mailing Address |
5125 Northshore Dr North Little Rock AR 72118-5315 |
| Practice Telephone | 5012241690 |
| Mailing Telephone | 5012241690 |
| Enumeration Date | 2011-08-19 |
| Last Update Date | 2016-09-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0222X |
Nurse Practitioner Specialization: Pediatrics, Critical Care |
A03459 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 198814758 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164720348 | Kristen L. Sheppard | Social Worker | 76 Winter Street, Haverhill, MA 01830-0000 | 2011-03-11 |
| 1013391325 | Kristen N. Sheppard | Social Worker | 81 Main St., Ste: 401, Bangor, ME 04401 | 2015-07-16 |
| 1730328949 | Kristen Sheppard | Case Manager/Care Coordinator | 418 Beech St, Newport, AR 72112-3906 | 2009-02-11 |
| Street Address |
220 N SIDNEY AVE |
| City | RUSSELLVILLE |
| State | AR |
| Zip Code | 72801-4389 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134637556 | Russellville Pediatric & Adolescent Clinic, Pa | Pediatrics | 220 N Sidney Ave, Russellville, AR 72801-4389 | 2018-01-19 |
| 1285145169 | Arkansas Family Care Network | Pediatrics | 220 N Sidney Ave, Russellville, AR 72801-4389 | 2017-10-18 |
| 1427432749 | Mallory Cranor | Nurse Practitioner | 220 N Sidney Ave, Russellville, AR 72801-4389 | 2015-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962002782 | Randy Paul Stayton | Pharmacist | 2109 W Main, Russellville, AR 72801 | 2020-10-30 |
| 1871134825 | Just Spreading Love Senior Care LLC | Student in an Organized Health Care Education/Training Program | 1411 N. Pittsburg Avenue, Russellville, AR 72801 | 2019-10-01 |
| 1124670369 | Richard L Morgan Dds Pa | Dentist | 1700 West C Place, Russellville, AR 72801 | 2019-07-09 |
| 1407342371 | Andrew James Hickman | Optometrist | 2711 E Parkway Drive, Russellville, AR 72801 | 2018-07-03 |
| 1154859833 | Felicia Head | Speech-Language Pathologist | 220 W 10th St., Russellville, AR 72801 | 2017-05-25 |
| 1295281293 | Arkansas Liver and Gastroenterology, P.a. | Internal Medicine | 1605 West Main Street, Russellville, AR 72801 | 2016-08-30 |
| 1467802405 | Kah Development 4, LLC | Hospice Care, Community Based | 3801 W Main St Ste A, Russellville, AR 72801 | 2016-06-21 |
| 1871904839 | Sleep Partners, LLC | Clinic/Center | 1310 West B Street, Suite A, Russellville, AR 72801 | 2014-05-13 |
| 1942647029 | Rpi Sleep Complete LLC | Clinic/Center | 1310 West Main Street, Suite 201, Russellville, AR 72801 | 2013-05-29 |
| 1184967291 | Amedco Arkansas Pllc | Optometrist | 302 N. Phoenix Ave., Clark Eye Clinic, Russellville, AR 72801 | 2013-03-27 |
| Find all providers in zip 72801 | ||||
| Taxonomy Code | 363LP0222X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics, Critical Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023650900 | Sarah Latham | Nurse Practitioner | 2204 Clapboard Hill Rd, Little Rock, AR 72227-3015 | 2019-10-12 |
| 1679943690 | Rachel Mcknight | Nurse Practitioner | 14 Kimberly Dr, Vilonia, AR 72173-9018 | 2015-10-02 |
| 1609244995 | Jennifer York | Nurse Practitioner | 127 River Valley Loop, Maumelle, AR 72113-7137 | 2015-09-03 |
| 1912396185 | Roseanne Wilson | Nurse Practitioner | 1 Childrens Way #512-8, Little Rock, AR 72202-4402 | 2015-01-12 |
| 1306486816 | Amber Dane Earls | Nurse Practitioner | 1 Childrens Way, Little Rock, AR 72202-3500 | 2020-01-13 |
| 1639651862 | Jennifer J White | Nurse Practitioner | 1 Childrens Way, Little Rock, AR 72202-3500 | 2018-09-04 |
| 1760988166 | Brittany Elizabeth Fulks | Nurse Practitioner | 1 Childrens Way, Little Rock, AR 72202 | 2018-04-04 |
| 1548788557 | Lauren Oglesby | Nurse Practitioner | 1 Childrens Way, Little Rock, AR 72202-3500 | 2017-08-30 |
| 1912327552 | Candace Lee Mayle | Nurse Practitioner | 1 Childrens Way, Slot 512-3, Little Rock, AR 72202-3500 | 2014-04-22 |
| 1669807129 | Ashley Paige Wright | Nurse Practitioner | 1 Childrens Way, Little Rock, AR 72202-3500 | 2013-09-03 |
| Find all providers with the same taxonomy | ||||
| City | RUSSELLVILLE |
| Zip Code | 72801 |
Please comment or provide details below to improve the information on KRISTEN L SHEPPARD.
| 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.