Johanna Sheppard, APRN PNP-AC
Nurse Practitioner, Pediatrics in Dallas, TX. Individual provider (NPI-1).
NPI number1801698352
StatusActive
Last updated in NPPESMar 25, 2025
Details
- NPI
- 1801698352
- Entity type
- Individual (NPI-1)
- Name
- Johanna Sheppard
- Credential
- APRN PNP-AC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 25, 2025
- Certification date
- Mar 22, 2025
- Last updated
- Mar 25, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | 1012393 | TX | Yes |
| 2080P0207X | Pediatrics, Pediatric Hematology-Oncology | 1012393 | TX |
Practice location
1935 Medical District DrDallas, TX 75235-7701
Phone 214-456-2382
Mailing address
3713 Dawn DrNorth Richland Hills, TX 76180-1543
Phone 918-605-2432
Other practice locations
7601 Preston Rd
Plano, TX 75024-3214
Plano, TX 75024-3214
Phone 214-456-2382
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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