MRS. DAMIRAE R SHEPARD RN
NPI 1619139805
Licensed Practical Nurse in Wayland, NY

Q: What is Damirae Shepard's NPI number?

The NPI number for Damirae Shepard is 1619139805. It was assigned to this individual provider in the NPPES registry on June 28, 2008. The provider is also known as Mrs. Damirae R Hall Lpn.

Q: What is Damirae 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 Damirae Shepard was last updated on November 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 June 28, 2008

3788 COUNTY ROUTE 36, WAYLAND, NY 14572(585) 534-9789 Get Directions Write a Review

NPPES record last updated: November 24, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Damirae R Shepard Rn NPPES

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

MRS. DAMIRAE R SHEPARD RN (NPI 1619139805) is an individual licensed practical nurse in Wayland, New York, licensed in New York (10236090) and active in the NPI registry since June 2008.

NPPES Registry Identity

NPI1619139805

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameMRS. DAMIRAE R SHEPARDCredential: RN

Location Address3788 COUNTY ROUTE 36Wayland, NY 14572-9426

Mailing Address3788 County Route 36Wayland, NY 14572-9426 · (607) 281-7153

Phone(585) 534-9789

Sole ProprietorYes

Enumeration DateJune 28, 2008

Last NPPES UpdateNovember 24, 2021

NPPES CertifiedNovember 24, 2021

✔ NPI 1619139805 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 NY · 10236090

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.

3788 COUNTY ROUTE 36, Wayland, NY 14572

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Other Names 1

Former Name (1)Mrs. Damirae R Hall Lpn

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 Damirae Shepard's NPI number?

The NPI number for Damirae Shepard is 1619139805. It was assigned to this individual provider in the NPPES registry on June 28, 2008. The provider is also known as Mrs. Damirae R Hall Lpn.

Where is Damirae Shepard located?

Damirae Shepard practices at 3788 County Route 36, Wayland, NY 14572. The listed phone number is (585) 534-9789.

What is Damirae 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 Damirae Shepard was last updated on November 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.