TEQUILLA SHEPHERD
NPI 1386049039
Adult Companion in Winston Salem, NC

Active since October 23, 2014
1530 NE 22ND ST, WINSTON SALEM, NC 27105(443) 254-8361 Get Directions Write a Review

NPPES record last updated: October 23, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tequilla Shepherd NPPES

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

TEQUILLA SHEPHERD (NPI 1386049039) is an individual adult companion provider in Winston Salem, North Carolina and active in the NPI registry since October 2014.

NPPES Registry Identity

NPI1386049039
Entity TypeIndividualFemale
Primary Taxonomy372600000X
Provider Legal NameTEQUILLA SHEPHERD
Location Address1530 NE 22ND STWinston Salem, NC 27105-5406
Mailing Address1530 Ne 22nd StWinston Salem, NC 27105-5406 · (443) 254-8361
Sole ProprietorYes
Enumeration DateOctober 23, 2014
NPI 1386049039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAdult CompanionNursing Service Related Providers
Taxonomy Code372600000X
Definition
An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.
1530 NE 22ND ST, Winston Salem, NC 27105

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 Tequilla Shepherd's NPI number?

The NPI number for Tequilla Shepherd is 1386049039. It was assigned to this individual provider in the NPPES registry on October 23, 2014.

Where is Tequilla Shepherd located?

Tequilla Shepherd practices at 1530 NE 22nd St, Winston Salem, NC 27105. The listed phone number is (443) 254-8361.

What is Tequilla Shepherd's specialty?

The primary specialty registered for this NPI is Adult Companion with taxonomy code 372600000X.

When was this NPI record last updated?

The NPPES record for Tequilla Shepherd was last updated on October 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.