AMANDA MARIE SHEPARD-HAYES M.D. NPI 1922458736

NPI Information

  • NPI: 1922458736
  • Provider Name: AMANDA MARIE SHEPARD-HAYES, M.D.
  • Classification: Dermatology - 207NP0225X
  • Specialization: Pediatric Dermatology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 35 MICHIGAN ST NE STE 5201
    GRAND RAPIDS, MI
    ZIP 49503
  • Phone: (616) 486-5885

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NPI Details

Amanda Marie Shepard-hayes, M.D. is a pediatric dermatology dermatology in Grand Rapids, MI. The provider is a pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents. Amanda Marie Shepard-hayes, M.D. NPI is 1922458736. 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:

35 MICHIGAN ST NE STE 5201
GRAND RAPIDS, MI
ZIP 49503-530
Phone: (616) 486-5885

The NPI 1922458736 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 6/13/2016 and was last updated on 10/27/2025.

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
1207NP0225XDermatologyPediatric Dermatology4301504742MICHIGANYes
2207N00000XDermatology4301504742MICHIGANNo

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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