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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

NATHANIEL LEIF SHEPARD
NPI 1225963267
Physician Assistant in Ardmore, OK

Active since June 12, 2026
1235 12TH AVE NW, ARDMORE, OK 73401(580) 222-0400 Get Directions Write a Review

NPPES record added: June 12, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Nathaniel Leif Shepard NPPES

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

NATHANIEL LEIF SHEPARD (NPI 1225963267) is an individual physician assistant in Ardmore, Oklahoma and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1225963267
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameNATHANIEL LEIF SHEPARD
Location Address1235 12TH AVE NWArdmore, OK 73401-1578
Mailing Address1235 12th Ave NwArdmore, OK 73401-1578 · (580) 222-0400
Phone(580) 222-0400
Sole ProprietorNo
Enumeration DateJune 12, 2026
NPPES CertifiedJune 12, 2026
✔ NPI 1225963267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1235 12TH AVE NW, Ardmore, OK 73401
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Other Names 1

Former Name (1)Nathaniel Leif Shepard Pa-c

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTIE MARTIN LCSW
Social Worker (Clinical)
1235 12TH AVE NW
ARDMORE, OK 73401
Carter County (580) 222-0421
OKLAHOMA CITY VAMC
Clinic/Center (VA)
1235 12TH AVE NW
ARDMORE, OK 73401
Carter County (615) 355-3451
JUSTIN COLE DRUSKIS PA-C
Physician Assistant
1235 12TH AVE NW
ARDMORE, OK 73401
Carter County (580) 222-0400

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 Nathaniel Shepard's NPI number?

The NPI number for Nathaniel Shepard is 1225963267. It was assigned to this individual provider in the NPPES registry on June 12, 2026. The provider is also known as Nathaniel Leif Shepard Pa-C.

Where is Nathaniel Shepard located?

Nathaniel Shepard practices at 1235 12th Ave NW, Ardmore, OK 73401. The listed phone number is (580) 222-0400.

What is Nathaniel Shepard's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Nathaniel Shepard was last updated on June 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.