DR. LAINE SHEPPARD (NPI# 1982730016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982730016 |
| Entity Type | Individual |
| Full Name | DR. LAINE SHEPPARD |
| Credential | M.D. |
| Practice Address |
250 Brent Ln Pensacola FL 32503-2267 |
| Practice Telephone | 8509691936 |
| Practice Fax Number | 8509691616 |
| Mailing Telephone | 8509691936 |
| Mailing Fax Number | 8509691616 |
| Enumeration Date | 2007-02-25 |
| Last Update Date | 2014-11-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0000X |
Internal Medicine Specialization: Adolescent Medicine |
54144 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 062848400 | 05 |
| Street Address |
250 BRENT LN |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32503-2267 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727472 | Lauren Barrett Evans | Nurse Practitioner | 4700 Bayou Boulevard, Suite 6, Pensacola, FL 32503 | 2020-10-09 |
| 1528666864 | Kelsey Christine Kvartek | Nurse Practitioner | 4700 Bayou Blvd., Suite 6, Pensacola, FL 32503 | 2020-10-09 |
| 1730790551 | Sacred Heart Hospital of Pensacola | Podiatrist | 1890 Summit Blvd, Pensacola, FL 32503 | 2020-08-14 |
| 1891312815 | Sacred Heart Asc, LLC | Clinic/Center | 1890 Summit Boulevard, Suite 210, Pensacola, FL 32503 | 2020-06-26 |
| 1275011744 | Teresa T Jansen | Registered Nurse | 5051 Carpenters Creek Dr, Pensacola, FL 32503 | 2018-08-06 |
| 1639662729 | Florida Physical Therapy Services of Pensacola, LLC | Occupational Therapist | 428 Airport Blvd, Pensacola, FL 32503 | 2018-06-13 |
| 1922595123 | Touch of Love Home Health Care LLC | Home Health | 139 E Burgess Rd Ste B, Pensacola, FL 32503 | 2018-04-13 |
| 1770012106 | Amber Mcclellan | Occupational Therapist | 4551 North Davis Highway, Suite C, Pensacola, FL 32503 | 2017-06-08 |
| 1780123885 | Corinne Georgette-marie Carlson | Registered Nurse | 6809 White Oak Drive, Pensacola, FL 32503 | 2017-02-22 |
| 1538615232 | Kristin E Patton | Dietitian, Registered | 4501 North Davis Hwy, Suite C, Pensacola, FL 32503 | 2016-09-01 |
| Find all providers in zip 32503 | ||||
| Taxonomy Code | 207RA0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Adolescent Medicine |
| An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| 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 |
|---|---|---|---|---|
| 1104017391 | Huaiyu Tan | Internal Medicine | 1717 N E St, Suite 530, Pensacola, FL 32501-6339 | 2007-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699322867 | Rdm Professional Services, Inc. | Internal Medicine | 437 Sw Rosemary Dr, Lake City, FL 32024-6715 | 2019-08-22 |
| 1114360831 | Pratik A Patel | Internal Medicine | 8041 Spyglass Hill Rd Ste 102, Melbourne, FL 32940-8559 | 2013-04-11 |
| 1346426178 | Raul M Templonuevo I | Internal Medicine | 5749 Norman H Cutson Dr, Orlando, FL 32821-5532 | 2008-01-10 |
| 1720108467 | Julio Arce | Internal Medicine | 8895 Tanglewood Pl, Apt 423, Tampa, FL 33617-6224 | 2007-03-29 |
| 1356479216 | Inderjit Kaur Bhullar | Internal Medicine | 17919 Simms Rd, Odessa, FL 33556-4758 | 2007-03-01 |
| 1861540544 | Narendra K Maheshwari Md Pa | Internal Medicine | 601 E Sample Rd Ste 101, Pompano Beach, FL 33064-4443 | 2007-01-08 |
| 1548228265 | Madhavi Uppalapati | Internal Medicine | 1301 S International Pkwy, Suite 1001, Lake Mary, FL 32746-1409 | 2006-05-02 |
| 1114982014 | Rajesh B Dave | Internal Medicine | 6424 Embassy Blvd Ste A, Port Richey, FL 34668-4980 | 2006-04-20 |
| 1306817135 | Gil Emmanuel A Mejia | Internal Medicine | 4102 W Linebaugh Ave, Suite 100, Tampa, FL 33624-5296 | 2006-01-30 |
| 1023007382 | Tadur S Reddy | Internal Medicine | 4300 Clarcona Ocoee Rd, Orlando, FL 32810-4114 | 2005-10-19 |
| Find all providers with the same taxonomy | ||||
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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.