KIMBERLY MICHELE SHEPARD RN BSN NPI 1700558616

NPI Information

NPI: 1700558616
Provider Name: KIMBERLY MICHELE SHEPARD, RN, BSN
Classification: Registered Nurse - 163WP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
4600 BROADWAY
SACRAMENTO, CA
ZIP 95820
Phone: (916) 874-9670
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Kimberly Michele Shepard, RN, BSN is a pediatrics registered nurse in Sacramento, CA. Kimberly Michele Shepard, RN, BSN NPI is 1700558616. 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:

4600 BROADWAY
SACRAMENTO, CA
ZIP 95820-527
Phone: (916) 874-9670

The enumeration date for this NPI number is 9/29/2021 and was last updated on 9/29/2021.

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	163WP0200X	Registered Nurse	Pediatrics	653566	CALIFORNIA	Yes

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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