CARL DEWAYNE SHEPPARD
NPI 1366635781
Case Manager/Care Coordinator in Ponca City, OK

Q: What is Carl Sheppard's NPI number?

The NPI number for Carl Sheppard is 1366635781. It was assigned to this individual provider in the NPPES registry on August 20, 2007.

Q: What is Carl Sheppard's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Carl Sheppard was last updated on August 20, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 August 20, 2007

1500 N 6TH ST, PONCA CITY, OK 74601(580) 762-7561(580) 762-2576 Get Directions Write a Review

NPPES record last updated: August 20, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Carl Dewayne Sheppard NPPES

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

CARL DEWAYNE SHEPPARD (NPI 1366635781) is an individual case manager/care coordinator provider in Ponca City, Oklahoma and active in the NPI registry since August 2007.

NPPES Registry Identity

NPI1366635781

Entity TypeIndividualMale

Primary Taxonomy171M00000X

Provider Legal NameCARL DEWAYNE SHEPPARD

Location Address1500 N 6TH STPonca City, OK 74601-2827

Mailing Address1500 N 6th StPonca City, OK 74601-2827 · (580) 762-7561 · Fax (580) 762-2576

Phone(580) 762-7561

Fax(580) 762-2576

Sole ProprietorNo

Enumeration DateAugust 20, 2007

✔ NPI 1366635781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

1500 N 6TH ST, Ponca City, OK 74601

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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.

JENNIFER LYN JOHNSON

Case Manager/Care Coordinator