DR. COURTNEY THERESE SHEPARD MD, PHD
NPI 1629820949
Student in an Organized Health Care Education/Training Program in Canton, MI
About Dr. Courtney Therese Shepard Md, Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. COURTNEY THERESE SHEPARD MD, PHD (NPI 1629820949) is an individual student in an organized health care education/training program in Canton, Michigan, licensed in Michigan (4351055677) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Courtney Therese Shepard Md, Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
CANTON, MI 48187
CANTON, MI 48187
CANTON, MI 48187
CANTON, MI 48187
CANTON, MI 48187
CANTON, MI 48187
CANTON, MI 48187
CANTON, MI 48187
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 Courtney Shepard's NPI number?
The NPI number for Courtney Shepard is 1629820949. It was assigned to this individual provider in the NPPES registry on April 2, 2024.
Where is Courtney Shepard located?
Courtney Shepard practices at 1051 N Canton Center Rd, Canton, MI 48187. The listed phone number is (734) 539-5080.
What is Courtney Shepard's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Courtney Shepard enrolled in Medicare?
Yes. Courtney Shepard is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Courtney Shepard was last updated on July 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 days 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.
# Dr. Courtney Therese Shepard, MD, PHD · NPI 1629820949
Student in an Organized Health Care Education/Training Program provider in Canton, Michigan. Individual provider, active in the CMS NPPES registry since April 2, 2024.
## Identity
- **NPI:** 1629820949 (Entity type: Individual)
- **Enumerated:** April 2, 2024
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **State license:** 4351055677 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 1051 N CANTON CENTER RD, Canton, MI 48187-5097
- **Phone:** (734) 539-5080
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** July 2, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1629820949) · Data from the CMS NPPES public registry.