SHEPHERDS PEDIATRIC CARE
NPI 1790108454
Clinic/Center - Primary Care in Lake Jackson, TX

Q: What is Shepherds Pediatric Care's NPI number?

The NPI number for Shepherds Pediatric Care is 1790108454. It was assigned to this organization in the NPPES registry on January 30, 2014.

Q: What is Shepherds Pediatric Care's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since January 30, 2014

106 CIRCLE WAY ST, SUITE A, LAKE JACKSON, TX 77566(979) 297-3949(979) 297-3919 Get Directions Write a Review

NPPES record last updated: March 10, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Shepherds Pediatric Care NPPES

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

SHEPHERDS PEDIATRIC CARE (NPI 1790108454) is a healthcare organization registered as a primary care in Lake Jackson, Texas and active in the NPI registry since January 2014. The organization lists Loni Lynn Shepherd, Owner, as its authorized official.

NPPES Registry Identity

NPI1790108454

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameSHEPHERDS PEDIATRIC CARE

Location Address106 CIRCLE WAY ST, SUITE ALake Jackson, TX 77566-5202

Mailing Address106 Circle Way St, Suite ALake Jackson, TX 77566-5202 · (979) 297-3949 · Fax (979) 297-3919

Phone(979) 297-3949

Fax(979) 297-3919

Organization SubpartNo

Authorized OfficialLoni Lynn ShepherdOwner · (979) 297-3949

Enumeration DateJanuary 30, 2014

Last NPPES UpdateMarch 10, 2014

✔ NPI 1790108454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

License✔ Licensed in TX · N6017

106 CIRCLE WAY ST, Lake Jackson, TX 77566

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Other Identifiers 1

Medicaid214871001TX

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

INTENTIONAL ACTIONS A BEHAVIOR ANALYTIC APPROACH LLC

Behavior Analyst

106 CIRCLE WAY ST
LAKE JACKSON, TX 77566

Brazoria County (281) 310-0632

AMANDA NICOLE GARCIA NP

Nurse Practitioner (Family)

106 CIRCLE WAY ST
LAKE JACKSON, TX 77566

Brazoria County (979) 529-2371

HORIZON SAFETY LLC

Nurse Practitioner (Family)

106 CIRCLE WAY ST
LAKE JACKSON, TX 77566

Brazoria County (713) 554-0419

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 Shepherds Pediatric Care's NPI number?

The NPI number for Shepherds Pediatric Care is 1790108454. It was assigned to this organization in the NPPES registry on January 30, 2014.

Where is Shepherds Pediatric Care located?

Shepherds Pediatric Care is located at 106 Circle Way St Suite A, Lake Jackson, TX 77566. The listed phone number is (979) 297-3949.

What is Shepherds Pediatric Care's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Shepherds Pediatric Care was last updated on March 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.