MYRTISE SHEPARD
NPI 1255880969
Licensed Practical Nurse in Chicago, IL

Q: What is Myrtise Shepard's NPI number?

The NPI number for Myrtise Shepard is 1255880969. It was assigned to this individual provider in the NPPES registry on September 23, 2016.

Q: What is Myrtise Shepard's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Myrtise Shepard was last updated on September 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since September 23, 2016

12324 S UNION UNION AVE, CHICAGO, IL 60628(773) 317-2943 Get Directions Write a Review

NPPES record last updated: September 23, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Myrtise Shepard NPPES

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

MYRTISE SHEPARD (NPI 1255880969) is an individual licensed practical nurse in Chicago, Illinois, licensed in Illinois (043-028179) and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1255880969

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameMYRTISE SHEPARD

Location Address12324 S UNION UNION AVEChicago, IL 60628-6433

Mailing Address12324 S Union Union AveChicago, IL 60628-6433 · (773) 317-2943

Phone(773) 317-2943

Sole ProprietorYes

Enumeration DateSeptember 23, 2016

✔ NPI 1255880969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in IL · 043-028179

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

12324 S UNION UNION AVE, Chicago, IL 60628

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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 Myrtise Shepard's NPI number?

The NPI number for Myrtise Shepard is 1255880969. It was assigned to this individual provider in the NPPES registry on September 23, 2016.

Where is Myrtise Shepard located?

Myrtise Shepard practices at 12324 S Union Union Ave, Chicago, IL 60628. The listed phone number is (773) 317-2943.

What is Myrtise Shepard's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Myrtise Shepard was last updated on September 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.