CASSANDRA SHEPHERD PA-C NPI 1366828196

NPI Information

  • NPI: 1366828196
  • Provider Name: CASSANDRA SHEPHERD, PA-C
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1275 YORK AVE
    ROOM S-1028
    NEW YORK, NY
    ZIP 10065
  • Phone: (212) 639-3738

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NPI Details

Cassandra Shepherd, PA-C is a surgical physician assistant in New York, NY with 10 years of experience. Cassandra Shepherd, PA-C NPI is 1366828196. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1275 YORK AVE
ROOM S-1028
NEW YORK, NY
ZIP 10065-007
Phone: (212) 639-3738

The NPI 1366828196 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/4/2015 and was last updated on 8/4/2015.

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
1363AS0400XPhysician AssistantSurgical018861NEW YORKYes

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: 3/30/2025

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