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Active NPI 1083375901 Individual Practitioner Female Practitioner

Elissa Shepherd

Licensed Practical Nurse • New Windsor, NY

Professional Overview & Biography Verified Profile Summary

Elissa Shepherd is a registered healthcare professional specializing in Licensed Practical Nurse in New Windsor, NY. Practice services are available at 1103 HAWTHORN WAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1103 Hawthorn Way

New Windsor, NY 125534785

Telephone 6467329848

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in New Windsor, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.0 Yrs
Regional Practice Density
41 Specialists

Practicing in New Windsor, NY (23738 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

CMS Verified: 2022-01-03
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License NY 341413-01

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.

Career & Practice History Timeline

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

6 Historical Events
✅
NPI Profile Active January 03, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location January 03, 2022

Registered at 1103 HAWTHORN WAY, NEW WINDSOR, NY 125534785 (Tel: 6467329848)

📍
Updated Business Mailing Address January 03, 2022

Registered at 1103 HAWTHORN WAY, NEW WINDSOR, NY 125534785 (Tel: 6467329848)

👤
Provider Name / Credentials Updated January 03, 2022

Recorded as ELISSA SHEPHERD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 03, 2022

Licensed Practical Nurse (License #341413-01 in NY)

🟢
Initial NPI Registration & Enumeration January 03, 2022

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: 1083375901
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 03, 2022
Last Update: January 03, 2022
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

1103 Hawthorn Way

New Windsor, NY 125534785

Phone: 6467329848

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.