Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jonathan Daniel Shepard

Individual provider Certified Registered Nurse Anesthetist · NPI 1093552325

Jonathan Daniel Shepard is a Certified Registered Nurse Anesthetist (CRNA) in Cookeville, Tennessee. Qualified in 2024, 2 years ago. Practices with Lifelinc Anesthesia VIII PLLC, a 152-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
2
Licensed in
GA
In the registry since
2024

Practice location Address checks out

1 Medical Center Blvd
Cookeville, TN 38501-4294
Phone: (931) 528-2541
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence RN236499 (GA)

Record details

NPI number1093552325
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 12, 2024
Last updated in NPPESAugust 25, 2025
Certification dateAugust 25, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Lifelinc Anesthesia Viii Pllc — 152 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Cookeville