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ELISSA SHEPHERD
NPI 1083375901
Licensed Practical Nurse in New Windsor, NY

Active since January 03, 2022
1103 HAWTHORN WAY, NEW WINDSOR, NY 12553(646) 732-9848 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Elissa Shepherd NPPES

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

ELISSA SHEPHERD (NPI 1083375901) is an individual licensed practical nurse in New Windsor, New York, licensed in New York (341413-01) and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1083375901
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameELISSA SHEPHERD
Location Address1103 HAWTHORN WAYNew Windsor, NY 12553-4785
Mailing Address1103 Hawthorn WayNew Windsor, NY 12553-4785 · (646) 732-9848
Phone(646) 732-9848
Sole ProprietorYes
Enumeration DateJanuary 3, 2022
NPPES CertifiedJanuary 3, 2022
✔ NPI 1083375901 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 · 341413-01
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.
1103 HAWTHORN WAY, New Windsor, NY 12553
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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 Elissa Shepherd's NPI number?

The NPI number for Elissa Shepherd is 1083375901. It was assigned to this individual provider in the NPPES registry on January 3, 2022.

Where is Elissa Shepherd located?

Elissa Shepherd practices at 1103 Hawthorn Way, New Windsor, NY 12553. The listed phone number is (646) 732-9848.

What is Elissa 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 Elissa Shepherd was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.