KELAJAH SHEPARD NPI 1508566910

NPI Information

  • NPI: 1508566910
  • Provider Name: KELAJAH SHEPARD
  • Classification: Health Educator - 174H00000X
  • Entity Type: Individual
  • Address: 2847 TEASLEY DR
    PEARL, MS
    ZIP 39208
  • Phone: (601) 278-6796

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NPI Details

Kelajah Shepard is a health educator in Pearl, MS. The provider is health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor's degree and may receive additional training, such as through mentoring, internships, or volunteer work. Kelajah Shepard NPI is 1508566910. 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:

2847 TEASLEY DR
PEARL, MS
ZIP 39208-849
Phone: (601) 278-6796

The enumeration date for this NPI number is 3/6/2023 and was last updated on 3/6/2023.

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
1374J00000XDoulaNo
2174H00000XHealth EducatorMISSISSIPPIYes
3172V00000XCommunity Health WorkerNo

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
1568946544OTHERMAINEBCBS
25874OTHERHEALTH PARTNERS
3236MEDICAIDMISSISSIPPI

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

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