RACHELLE SHEPARD APRN, AGNP
NPI 1164995346
Family Medicine - Adult Medicine in Columbia, SC
Active since January 10, 2019
About Rachelle Shepard Aprn, Agnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RACHELLE SHEPARD APRN, AGNP (NPI 1164995346) is an individual adult medicine provider in Columbia, South Carolina, licensed in South Carolina (22445) and active in the NPI registry since January 2019.
NPPES Registry Identity
NPI1164995346
Entity TypeIndividualFemale
Primary Taxonomy207QA0505X
Provider Legal NameRACHELLE SHEPARDCredential: APRN, AGNP
Location Address752 DEERWOOD CROSSING DRColumbia, SC 29229-8244
Mailing Address752 Deerwood Crossing DrColumbia, SC 29229-8244 · (803) 290-6357
Phone(803) 290-6357
Sole ProprietorYes
Enumeration DateJanuary 10, 2019
Last NPPES UpdateJune 13, 20233 updates tracked since enumeration
NPPES CertifiedJune 13, 2023
✔ NPI 1164995346 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in SC · 22445
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X · License 22445 (SC)
752 DEERWOOD CROSSING DR, Columbia, SC 29229
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164995346, enumerated as an "individual" on January 10, 2019.
The provider is located at 752 DEERWOOD CROSSING DR COLUMBIA, SC 29229 and the phone number is (803) 290-6357.
Family Medicine with taxonomy code 207QA0505X and a focus in Adult Medicine.
