RENEE ELIZABETH SHEPHERD DPM NPI 1558713420

NPI Information

NPI: 1558713420
Provider Name: RENEE ELIZABETH SHEPHERD, DPM
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

Organization: RONALD J BELCZYK, DPM INC.

PECOS Registration: Yes

Address:
3974 SPRINGFIELD RD
GLEN ALLEN, VA
ZIP 23060
Phone: (804) 273-1717
Get Directions

Renee Elizabeth Shepherd, DPM is a foot and ankle surgery podiatrist in Glen Allen, VA with 8 years of experience. Renee Elizabeth Shepherd, DPM NPI is 1558713420. 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:

3974 SPRINGFIELD RD
GLEN ALLEN, VA
ZIP 23060-119
Phone: (804) 273-1717
Fax: (804) 273-1834

The NPI 1558713420 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).

The enumeration date for this NPI number is 7/5/2016 and was last updated on 2/22/2022.

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
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	E5569	CALIFORNIA	No
2	390200000X	Student in an Organized Health Care Education/Training Program		SC006766	PENNSYLVANIA	No
3	213ES0103X	Podiatrist	Foot & Ankle Surgery	0103301338	VIRGINIA	Yes

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
1	E5569	OTHER	CALIFORNIA	LICENSE
2	FS6262202	OTHER	CALIFORNIA	DEA

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: 11/14/2023

NPI Synchronization or Removal

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