PATRICK BOYD SHEPHERD RD
NPI 1164757100
Dietitian, Registered in Logan, UT

Active since October 08, 2009
1350 N 500 E, LOGAN, UT 84341(435) 792-1703(435) 792-1647 Get Directions Write a Review

NPPES record last updated: October 8, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Patrick Boyd Shepherd Rd NPPES

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

PATRICK BOYD SHEPHERD RD (NPI 1164757100) is an individual dietitian, registered in Logan, Utah, licensed in Utah (7141545-4901) and active in the NPI registry since October 2009.

NPPES Registry Identity

NPI1164757100
Entity TypeIndividualMale
Primary Taxonomy133V00000X
Provider Legal NamePATRICK BOYD SHEPHERDCredential: RD
Location Address1350 N 500 ELogan, UT 84341-2400
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128 · (435) 792-1703 · Fax (435) 792-1647
Fax(435) 792-1647
Sole ProprietorNo
Enumeration DateOctober 8, 2009
✔ NPI 1164757100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in UT · 7141545-4901
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
1350 N 500 E, Logan, UT 84341

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Patrick Boyd Shepherd Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Patrick Shepherd reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
550 E 1400 N STE X
Logan, UT 84341
  • Reassigned Medicare billing, Utah enrollment
  • 3,691 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Obstetrics & Gynecology
1350 N 500 E
LOGAN, UT 84341
Surgery
1350 N 500 E
LOGAN, UT 84341
Pharmacy (Community/Retail Pharmacy)
1350 N 500 E
LOGAN, UT 84341
Physician Assistant
1350 N 500 E
LOGAN, UT 84341
Internal Medicine (Rheumatology)
1350 N 500 E
LOGAN, UT 84341
Internal Medicine
1350 N 500 E
LOGAN, UT 84341
Internal Medicine
1350 N 500 E
LOGAN, UT 84341
Otolaryngology
1350 N 500 E
LOGAN, UT 84341

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 Patrick Shepherd's NPI number?

The NPI number for Patrick Shepherd is 1164757100. It was assigned to this individual provider in the NPPES registry on October 8, 2009.

Where is Patrick Shepherd located?

Patrick Shepherd practices at 1350 N 500 E, Logan, UT 84341. The listed phone number is (435) 792-1703.

What is Patrick Shepherd's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Patrick Shepherd enrolled in Medicare?

Yes. Patrick Shepherd is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Patrick Shepherd's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Patrick Shepherd reassigns Medicare benefits to Ihc Health Services Inc (Logan, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Patrick Shepherd's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Patrick Shepherd accept?

Health plans from Select Health and University of Utah Health Plans list Patrick Shepherd as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Patrick Shepherd was last updated on October 8, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.