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NATHANIEL AARON SHEPARD
NPI 1003526609
Peer Specialist in Olympia, WA

Active since December 05, 2022
1202 BLACK LAKE BLVD, SUITE B, OLYMPIA, WA 98502(206) 328-5696 Get Directions Write a Review

NPPES record last updated: December 5, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nathaniel Aaron Shepard NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NATHANIEL AARON SHEPARD (NPI 1003526609) is an individual peer specialist in Olympia, Washington and active in the NPI registry since December 2022.

NPPES Registry Identity

NPI1003526609
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameNATHANIEL AARON SHEPARD
Location Address1202 BLACK LAKE BLVD, SUITE BOlympia, WA 98502
Mailing Address2261 Nut Tree Loop SeOlympia, WA 98501-3149 · (206) 371-0920
Phone(206) 328-5696
Sole ProprietorYes
Enumeration DateDecember 5, 2022
NPPES CertifiedDecember 5, 2022
✔ NPI 1003526609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
1202 BLACK LAKE BLVD, Olympia, WA 98502
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nathaniel Shepard's NPI number?

The NPI number for Nathaniel Shepard is 1003526609. It was assigned to this individual provider in the NPPES registry on December 5, 2022.

Where is Nathaniel Shepard located?

Nathaniel Shepard practices at 1202 Black Lake Blvd Suite B, Olympia, WA 98502. The listed phone number is (206) 328-5696.

What is Nathaniel Shepard's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Nathaniel Shepard was last updated on December 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.