REX K SHEPPARD
NPI 1922745900
Student in an Organized Health Care Education/Training Program in Lake Elsinore, CA

Q: What is Rex Sheppard's NPI number?

The NPI number for Rex Sheppard is 1922745900. It was assigned to this individual provider in the NPPES registry on May 19, 2022.

Q: What is Rex Sheppard's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Rex Sheppard was last updated on September 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 May 19, 2022

265 SAN JACINTO RIVER RD STE 107, LAKE ELSINORE, CA 92530(951) 674-9243 Get Directions Write a Review

NPPES record last updated: September 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 4, 2023, May 2, 2023, May 19, 2022 (3 updates tracked since 2022).

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About Rex K Sheppard NPPES

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

REX K SHEPPARD (NPI 1922745900) is an individual student in an organized health care education/training program in Lake Elsinore, California and active in the NPI registry since May 2022. He maintains a secondary practice location in Hemet.

NPPES Registry Identity

NPI1922745900

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameREX K SHEPPARD

Location Address265 SAN JACINTO RIVER RD STE 107Lake Elsinore, CA 92530-4400

Mailing Address33962 Wagon Train DrWildomar, CA 92595-7671 · (951) 956-1347

Phone(951) 674-9243

Sole ProprietorNo

Enumeration DateMay 19, 2022

Last NPPES UpdateSeptember 4, 20233 updates tracked since enumeration

NPPES CertifiedSeptember 1, 2023

✔ NPI 1922745900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedSocial WorkerTaxonomy 104100000X

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

265 SAN JACINTO RIVER RD STE 107, Lake Elsinore, CA 92530

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Secondary Practice Location 1

Location 1Hemet Department of Behavioral Health, 650 N State StHemet, CA 92543-2960 · Phone (951) 791-3300

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.

MORIAH ASCH

Marriage & Family Therapist