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Deactivated NPI 1922473677 Deactivated / Inactive NPI Female Practitioner

Deborah Harris-Shepard , LPN

Licensed Practical Nurse • Berkley, MI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Deborah Harris-Shepard has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 07, 2015
NPI Deactivation Date October 30, 2024
Total Practice Duration ~9 Years of Practice (2015 – 2024)

Professional Overview & Biography Verified Profile Summary

Deborah Harris-Shepard, LPN was a registered Licensed Practical Nurse practicing in Berkley, MI. Throughout an active medical career spanning 9 years, Deborah Harris-Shepard provided care at the practice location at 2766 W 11 MILE RD until profile deactivation on 2024-10-30.

Practice Location & Contact Primary Location

Practice Address

2766 W 11 Mile Rd
Suite 2

Berkley, MI 480723033

Telephone 2485422424
Fax 2485425621
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Berkley, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
20 Specialists

Practicing in Berkley, MI (4550 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License MI 4703064711

An individual 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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Rebecca Critzer , LPN

Licensed Practical Nurse

NPI 1003237033

Licensed Practical Nurse

Marjorie Dronsella

Registered Nurse

NPI 1003286162
Patricia Carpenter

Licensed Practical Nurse

NPI 1013384791
Wendy Hobbs

Licensed Practical Nurse

NPI 1033595384
NPI 1043685811

Licensed Practical Nurse

Lola Baskerville

Registered Nurse

NPI 1114382728

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 30, 2024

Record deactivated on October 30, 2024

NPI Profile Active December 07, 2015

NPI status registered as active in NPPES database

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Updated Practice Location December 07, 2015

Registered at 2766 W 11 MILE RD, SUITE 2, BERKLEY, MI 480723033 (Tel: 2485422424)

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Updated Business Mailing Address December 07, 2015

Registered at 2766 W 11 MILE RD, SUITE 2, BERKLEY, MI 480723033 (Tel: 2485422424)

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Provider Name / Credentials Updated December 07, 2015

Recorded as DEBORAH HARRIS-SHEPARD, LPN

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 07, 2015

Licensed Practical Nurse (License #4703064711 in MI)

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Initial NPI Registration & Enumeration December 07, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1922473677
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 07, 2015
Last Update: December 07, 2015
Deactivation Date: October 30, 2024

Mailing Address

2766 W 11 Mile Rd, Suite 2

Berkley, MI 480723033

Phone: 2485422424

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.