MRS. TANYA IRENE SHEPPARD C-NP
NPI 1184074205
Nurse Practitioner - Family in Cleveland, OH
Active since June 20, 2016
7215 OLD OAK BLVD STE A420, CLEVELAND, OH 44130(440) 895-5058(440) 816-6999 Get Directions Write a Review
About Mrs. Tanya Irene Sheppard C-np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. TANYA IRENE SHEPPARD C-NP (NPI 1184074205) is an individual family provider in Cleveland, Ohio, licensed in Ohio (COA.19234-NP) and active in the NPI registry since June 2016.
NPPES Registry Identity
NPI1184074205
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. TANYA IRENE SHEPPARDCredential: C-NP
Location Address7215 OLD OAK BLVD STE A420Cleveland, OH 44130
Mailing Address24651 Center Ridge Rd, Suite 350Westlake, OH 44145-5635 · (440) 895-5056
Phone(440) 895-5058
Fax(440) 816-6999
Sole ProprietorNo
Enumeration DateJune 20, 2016
Last NPPES UpdateFebruary 7, 20225 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2022
✔ NPI 1184074205 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OH · COA.19234-NP
7215 OLD OAK BLVD STE A420, Cleveland, OH 44130
Other Names 1
Former Name (1)Mrs. Tanya Irene Makowski C-np
Other Identifiers 1
Medicaid0175501OH
Accepted Insurance
The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1184074205, enumerated as an "individual" on June 20, 2016.
The provider is located at 7215 OLD OAK BLVD STE A420 CLEVELAND, OH 44130 and the phone number is (440) 895-5058.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
The provider might be accepting Accepts: CareSource, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
