MELISSA DEWEY SHEPHERD NP NPI 1992822951

NPI Information

NPI: 1992822951
Provider Name: MELISSA DEWEY SHEPHERD, NP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
2000 CIRCLE OF HOPE
CLINIC 2E
SALT LAKE CITY, UT
ZIP 84112
Phone: (801) 585-0100
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Melissa Dewey Shepherd, NP is an adult health nurse practitioner in Salt Lake City, UT with 19 years of experience. Melissa Dewey Shepherd, NP NPI is 1992822951. 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:

2000 CIRCLE OF HOPE
CLINIC 2E
SALT LAKE CITY, UT
ZIP 84112-550
Phone: (801) 585-0100
Fax: (801) 587-9792

The NPI 1992822951 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 3/23/2007 and was last updated on 10/22/2021.

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	363L00000X	Nurse Practitioner		335086-4405	UTAH	No
2	363LA2100X	Nurse Practitioner	Acute Care	335086-4405	UTAH	No
3	363LA2200X	Nurse Practitioner	Adult Health	335086-4405	UTAH	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: 4/28/2024

NPI Synchronization or Removal

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