MRS. TYRA SHEPHERD CCMA
NPI 1316744618
Physician Assistant - Medical in Mccordsville, IN

Q: What is Tyra Shepherd's NPI number?

The NPI number for Tyra Shepherd is 1316744618. It was assigned to this individual provider in the NPPES registry on February 25, 2025.

Q: What is Tyra Shepherd's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Tyra Shepherd was last updated on February 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since February 25, 2025

5698 TEAK LN, MCCORDSVILLE, IN 46055(317) 313-7408 Get Directions Write a Review

NPPES record last updated: February 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Tyra Shepherd Ccma NPPES

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

MRS. TYRA SHEPHERD CCMA (NPI 1316744618) is an individual medical provider in Mccordsville, Indiana and active in the NPI registry since February 2025.

NPPES Registry Identity

NPI1316744618

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMRS. TYRA SHEPHERDCredential: CCMA

Location Address5698 TEAK LNMccordsville, IN 46055-0106

Mailing Address8245 E 96th St # 1057Indianapolis, IN 46256-1013 · (317) 707-6884

Phone(317) 313-7408

Sole ProprietorYes

Enumeration DateFebruary 25, 2025

NPPES CertifiedFebruary 25, 2025

✔ NPI 1316744618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

5698 TEAK LN, Mccordsville, IN 46055

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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 Tyra Shepherd's NPI number?

The NPI number for Tyra Shepherd is 1316744618. It was assigned to this individual provider in the NPPES registry on February 25, 2025.

Where is Tyra Shepherd located?

Tyra Shepherd practices at 5698 Teak Ln, Mccordsville, IN 46055. The listed phone number is (317) 313-7408.

What is Tyra Shepherd's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Tyra Shepherd was last updated on February 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.