Healthcare Provider Details

I. General information

NPI: 1255546222
Provider Name (Legal Business Name): JANET EILEEN SHEPHERD M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/13/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 E 9TH AVE SUITE 106
DENVER CO
80203-3360
US

IV. Provider business mailing address

1513 HARVEST DR
LAFAYETTE CO
80026-9435
US

V. Phone/Fax

Practice location:
  • Phone: 303-837-1060
  • Fax:
Mailing address:
  • Phone: 850-386-5531
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number29152
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberME 89361
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: