ANTHONY TRAYVON SHEPARD NPI 1336845908

NPI Information

  • NPI: 1336845908
  • Provider Name: ANTHONY TRAYVON SHEPARD
  • Classification: Registered Nurse - 163WD0400X
  • Specialization: Diabetes Educator
  • Entity Type: Individual
  • Address: 6060 SILVER LAKE RD APT 13G
    RENO, NV
    ZIP 89506
  • Phone: (775) 303-6446

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NPI Details

Anthony Trayvon Shepard is a diabetes educator registered nurse in Reno, NV. Anthony Trayvon Shepard NPI is 1336845908. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6060 SILVER LAKE RD APT 13G
RENO, NV
ZIP 89506-782
Phone: (775) 303-6446

The enumeration date for this NPI number is 2/6/2023 and was last updated on 2/6/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WD0400XRegistered NurseDiabetes Educator0806091399NEVADAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10806091399MEDICAIDNEVADA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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