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MARY T SHEPPARD PNP
NPI 1417913096
Nurse Practitioner - Pediatrics in Buffalo, NY

Active since April 24, 2006
1001 MAIN ST FL 4, BUFFALO, NY 14203(716) 323-0110(716) 323-0296 Get Directions Write a Review

NPPES record last updated: May 16, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mary T Sheppard Pnp NPPES

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

MARY T SHEPPARD PNP (NPI 1417913096) is an individual pediatrics provider in Buffalo, New York, licensed in New York (F380546) and active in the NPI registry since April 2006. She maintains a secondary practice location in Amherst.

NPPES Registry Identity

NPI1417913096
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMARY T SHEPPARDCredential: PNP
Location Address1001 MAIN ST FL 4Buffalo, NY 14203-1009
Mailing Address1001 Main St Fl 5Buffalo, NY 14203-1009 · (716) 323-0110 · Fax (716) 332-0296
Phone(716) 323-0110
Fax(716) 323-0296
Sole ProprietorNo
Enumeration DateApril 24, 2006
Last NPPES UpdateMay 16, 2023
NPPES CertifiedMay 16, 2023
✔ NPI 1417913096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in NY · F380546
1001 MAIN ST FL 4, Buffalo, NY 14203
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Secondary Practice Location 1

Location 11404 Sweet Home Rd Ste 5Amherst, NY 14228-2778 · Phone (716) 639-9360 · Fax (716) 323-0296

Other Identifiers 3

Medicaid02344723NY
Other071112000039Fidelis
Other080407000110Fidelis

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.

DR. MONA BONANNO M.D.
Pediatrics
1001 MAIN ST FL 4
BUFFALO, NY 14203
Erie County (716) 323-0260
MELISSA ANNE AZAULA MD
Physical Medicine & Rehabilitation (Pediatric Rehabilitation Medicine)
1001 MAIN ST FL 4
BUFFALO, NY 14203
Erie County (716) 323-0034
DANIELLE MARIE GOETZ MD
Pediatrics (Pediatric Pulmonology)
1001 MAIN ST FL 4
BUFFALO, NY 14203
Erie County (716) 323-0110
MS. XIAOYAN WU MD
Pediatrics (Pediatric Nephrology)
1001 MAIN ST FL 4
BUFFALO, NY 14203
Erie County (716) 323-0140
DR. XILEI XU CHEN M.D.
Pediatrics (Pediatric Pulmonology)
1001 MAIN ST FL 4
BUFFALO, NY 14203
Erie County (716) 323-0260
MARY BADAME
Doula
1001 MAIN ST FL 4
BUFFALO, NY 14203
Erie County (716) 668-1188
DR. OSAMA FAROUQ ALMADHOUN M.D
Pediatrics (Pediatric Gastroenterology)
1001 MAIN ST FL 4
BUFFALO, NY 14203
Erie County (716) 323-0080
ALBERTO F. MONEGRO M.D.
Internal Medicine (Pulmonary Disease)
1001 MAIN ST FL 4
BUFFALO, NY 14203
Erie County (716) 323-0110

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 Mary Sheppard's NPI number?

The NPI number for Mary Sheppard is 1417913096. It was assigned to this individual provider in the NPPES registry on April 24, 2006.

Where is Mary Sheppard located?

Mary Sheppard practices at 1001 Main St Fl 4, Buffalo, NY 14203. The listed phone number is (716) 323-0110.

What is Mary Sheppard's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Mary Sheppard was last updated on May 16, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.