ANGEL J SHEPHERD
NPI 1073402335
Licensed Practical Nurse in Watertown, NY

Active since July 01, 2025
650 STATE ST, WATERTOWN, NY 13601(315) 755-1251(315) 291-6601 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Angel J Shepherd NPPES

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

ANGEL J SHEPHERD (NPI 1073402335) is an individual licensed practical nurse in Watertown, New York, licensed in New York (353253) and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1073402335
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameANGEL J SHEPHERD
Location Address650 STATE STWatertown, NY 13601-2839
Mailing Address324 County Route 51 Bldg 1Malone, NY 12953-4502 · (518) 651-2302
Fax(315) 291-6601
Sole ProprietorNo
Enumeration DateJuly 1, 2025
NPPES CertifiedJuly 1, 2025
NPI 1073402335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in NY · 353253
Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

650 STATE ST, Watertown, NY 13601

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
650 STATE ST
WATERTOWN, NY 13601
Registered Nurse
650 STATE ST
WATERTOWN, NY 13601
Registered Nurse
650 STATE ST
WATERTOWN, NY 13601
Student in an Organized Health Care Education/Training Program
650 STATE ST
WATERTOWN, NY 13601
Counselor (Mental Health)
650 STATE ST
WATERTOWN, NY 13601
Peer Specialist
650 STATE ST
WATERTOWN, NY 13601
Case Manager/Care Coordinator
650 STATE ST
WATERTOWN, NY 13601
Licensed Practical Nurse
650 STATE ST
WATERTOWN, NY 13601

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 Angel Shepherd's NPI number?

The NPI number for Angel Shepherd is 1073402335. It was assigned to this individual provider in the NPPES registry on July 1, 2025.

Where is Angel Shepherd located?

Angel Shepherd practices at 650 State St, Watertown, NY 13601. The listed phone number is (315) 755-1251.

What is Angel Shepherd's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Angel Shepherd was last updated on July 1, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.