KENDRA DIONNE SHEPPARD MD NPI 1760518658

NPI Information

NPI: 1760518658
Provider Name: KENDRA DIONNE SHEPPARD, MD
Classification: Internal Medicine - 207RG0300X
Entity Type: Individual

Specialization: Geriatric Medicine

PECOS Registration: Yes

Address:
1056 E RAINES RD
MEMPHIS, TN
ZIP 38116
Phone: (901) 300-5777
Get Directions

Kendra Dionne Sheppard, MD is a geriatric medicine internal medicine in Memphis, TN. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. Kendra Dionne Sheppard, MD NPI is 1760518658. 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:

1056 E RAINES RD
MEMPHIS, TN
ZIP 38116-337
Phone: (901) 300-5777
Fax: (901) 422-6092

The NPI 1760518658 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 2/26/2007 and was last updated on 11/30/2021.

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	207RG0300X	Internal Medicine	Geriatric Medicine	28922	ALABAMA	No
2	390200000X	Student in an Organized Health Care Education/Training Program		28922	ALABAMA	No
3	207RG0300X	Internal Medicine	Geriatric Medicine	61176	TENNESSEE	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	051100368	OTHER	ALABAMA	BCBS
2	114416	MEDICAID	ALABAMA
3	114409	MEDICAID	ALABAMA
4	114406	MEDICAID	ALABAMA
5	130354	MEDICAID	ALABAMA
6	08752708	MEDICAID	MISSISSIPPI
7	114403	MEDICAID	ALABAMA
8	P00894317	OTHER	ALABAMA	RAILROAD MEDICARE

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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