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KEEGAN ROSE MARIE SHEPHERD
NPI 1194586081
Student in an Organized Health Care Education/Training Program in Culver City, CA

Active since January 18, 2024
9808 VENICE BLVD STE 700, CULVER CITY, CA 90232(310) 945-3350(310) 945-3356 Get Directions Write a Review

NPPES record last updated: January 18, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Keegan Rose Marie Shepherd NPPES

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

KEEGAN ROSE MARIE SHEPHERD (NPI 1194586081) is an individual student in an organized health care education/training program in Culver City, California and active in the NPI registry since January 2024. She maintains a secondary practice location in Orange.

NPPES Registry Identity

NPI1194586081
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKEEGAN ROSE MARIE SHEPHERD
Location Address9808 VENICE BLVD STE 700Culver City, CA 90232-6824
Mailing Address9808 Venice Blvd Ste 700Culver City, CA 90232-6824 · (310) 945-3350 · Fax (310) 945-3356
Phone(310) 945-3350
Fax(310) 945-3356
Sole ProprietorNo
Enumeration DateJanuary 18, 2024
NPPES CertifiedJanuary 18, 2024
✔ NPI 1194586081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
9808 VENICE BLVD STE 700, Culver City, CA 90232
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Secondary Practice Location 1

Location 1265 S Anita Dr Ste 102-104Orange, CA 92868-3355 · Phone (714) 410-3500 · Fax (714) 410-3526

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.

KEVIN JACOB WINSTON
Rehabilitation Practitioner
9808 VENICE BLVD STE 700
CULVER CITY, CA 90232
Los Angeles County (310) 945-3350
BRADLEY CHARLES NEIMAN
Peer Specialist
9808 VENICE BLVD STE 700
CULVER CITY, CA 90232
Los Angeles County (310) 945-3350
JULIA MARISA ALAY
Licensed Vocational Nurse
9808 VENICE BLVD STE 700
CULVER CITY, CA 90232
Los Angeles County (310) 945-3350
DESIREA CHANELLE TAYLOR
Licensed Vocational Nurse
9808 VENICE BLVD STE 700
CULVER CITY, CA 90232
Los Angeles County (310) 945-3350
ASHLEY NICOLLE NUNEZ
Rehabilitation Practitioner
9808 VENICE BLVD STE 700
CULVER CITY, CA 90232
Los Angeles County (310) 945-3350
ZYNIA NEREYDA ORTIZ
Rehabilitation Practitioner
9808 VENICE BLVD STE 700
CULVER CITY, CA 90232
Los Angeles County (310) 945-3350
ALVARO MAURICIO LA ROSA
Rehabilitation Practitioner
9808 VENICE BLVD STE 700
CULVER CITY, CA 90232
Los Angeles County (310) 945-3350
JEANETTE MARTINEZ
Rehabilitation Practitioner
9808 VENICE BLVD STE 700
CULVER CITY, CA 90232
Los Angeles County (310) 945-3350

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 Keegan Shepherd's NPI number?

The NPI number for Keegan Shepherd is 1194586081. It was assigned to this individual provider in the NPPES registry on January 18, 2024.

Where is Keegan Shepherd located?

Keegan Shepherd practices at 9808 Venice Blvd Ste 700, Culver City, CA 90232. The listed phone number is (310) 945-3350.

What is Keegan Shepherd's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Keegan Shepherd was last updated on January 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.