KENDRA DIONNE SHEPPARD


Address: 1020 Tuscaloosa Ave Sw, Birmingham, AL 35211
Phone: 2057886330

KENDRA DIONNE SHEPPARD (NPI# 1760518658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760518658
Entity Type Individual
Full Name KENDRA DIONNE SHEPPARD
Credential MD
Practice Address 1020 Tuscaloosa Ave Sw
Birmingham
AL 35211
Mailing Address 1116 20th St S # 405
Birmingham
AL 35205-2612
Practice Telephone 2057886330
Mailing Telephone 2052532738
Mailing Fax Number 9078852264
Enumeration Date 2007-02-26
Last Update Date 2020-05-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0300X Internal Medicine
Specialization: Geriatric Medicine
61176 TN Allopathic & Osteopathic Physicians
N 207RG0300X Internal Medicine
Specialization: Geriatric Medicine
28922 AL Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program 28922 AL Student, Health Care

Other Provider Identifier

State Issuer Identifier Type Code
AL RAILROAD MEDICARE P00894317 01
MS 08752708 05
AL 114406 05
AL 114416 05
AL BCBS 051100368 01
AL 114409 05
AL 114403 05
AL 130354 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
1521 11th Ave S, Birmingham, AL 352940001 2059962770

Office Location

Street Address 1020 TUSCALOOSA AVE SW
City BIRMINGHAM
State AL
Zip Code 35211

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679518450 Arlington Rehabilitation & Healthcare Center, LLC Skilled Nursing Facility 1020 Tuscaloosa Ave Sw, Birmingham, AL 35211-1619 2006-06-17
1629569967 Delana Hall Nurse Practitioner 1020 Tuscaloosa Ave Sw, Birmingham, AL 35211-1619 2018-05-22
1194223313 Sheppard Consulting Services, LLC Internal Medicine 1020 Tuscaloosa Ave Sw, Birmingham, AL 35211-1619 2018-01-23
1982985040 Arlington Rehabilitation & Healthcare Center, LLC Clinic/Center 1020 Tuscaloosa Ave Sw, Birmingham, AL 35211-1619 2011-09-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982216123 Tara Brown Technician 2007 Goldwire Trce, Birmington, AL 35211 2020-08-19
1477173318 Jeffrey D. Cooney Student in an Organized Health Care Education/Training Program 833 Princeton Avenue Sw, Professional Office Bldg 3, Suite 200-e, Birmingham, AL 35211 2020-04-21
1982253852 Josephine Cook Technician 1255 18th St Sw, Birmingham, AL 35211 2019-09-04
1154882322 Stephen Jenkins Registered Nurse 701 Princeton Ave. Sw, Birmingham, AL 35211 2019-03-28
1780107052 Negar Massah Dentist 2850 Venice Rd, Apt 1135, Birmingham, AL 35211 2017-07-19
1417075342 Joseph Edward Mcjunkin Pharmacist 1308-tuscaloosa Ave.sw, Birmingham, AL 35211 2007-03-27
1669500880 Prakash Chand Kansal Internal Medicine 801 Princeton Avenue, Pob 1, Suite 332., Birmingham, AL 35211 2007-03-01
1588717284 Laquinta Johnson Occupational Therapist 420 10th St Sw, Birmingham, AL 35211 2007-01-18
1174613160 Praveen Jetty Psychiatry & Neurology 401 Tuscaloosa Ave. S.w., Suite 110, Birmingham, AL 35211 2006-10-13
1326134180 Yahya M Sabri Obstetrics & Gynecology 801 Princton Ave, Prof Office Bldg I Suite 332, Birmingham, AL 35211 2006-10-05
Find all providers in zip 35211

Taxonomy Information

Taxonomy Code 207RG0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Geriatric Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821196551 Allied Geriatric Services P.C. Internal Medicine 725 S Adams Rd Ste 243, Birmingham, MI 48009-6913 2006-09-20
1669494597 Alabama Geriatric Specialists Inc. Internal Medicine 1 Lakeshore Dr., Ste. 200, Birmingham, AL 35209 2006-07-23
1073558813 Carol A Griffin Internal Medicine 933 19th St S, Room 201, Birmingham, AL 35205-3703 2006-06-17
1194223313 Sheppard Consulting Services, LLC Internal Medicine 1020 Tuscaloosa Ave Sw, Birmingham, AL 35211-1619 2018-01-23
1467849166 Walter Baehr IIi Internal Medicine 619 19th St S, Birmingham, AL 35249-0001 2015-04-20
1265838445 Sandhya Narukonda Internal Medicine 1201 11th Ave S, Birmingham, AL 35205 2014-11-14
1528488913 Ellen Elizabeth Wills Internal Medicine 625 19th St S, Birmingham, AL 35233 2014-04-24
1992140917 Ginnie Prater Internal Medicine 625 19th St S, Birmingham, AL 35233-1900 2013-05-03
1932542669 Brian Nelson Donahue Internal Medicine 619 19th St S, Birmingham, AL 35249 2013-04-11
1578810982 M Clagett Collins Md LLC Internal Medicine 1 Lakeshore Drive, Ste 200, Birmingham, AL 35209-7271 2012-08-06
Find all providers in BIRMINGHAM

Competitor

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City BIRMINGHAM
Zip Code 35211

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Dataset Information

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.

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