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

Jonathan Lane Shepard, PA-C

Individual provider Physician Assistant · NPI 1205174174

Jonathan Lane Shepard, PA-C is a Physician Assistant in Cortez, Colorado. Licensed in Colorado and Connecticut. Registered with an NPI since 2013.

Licensed in
CO, CT
In the registry since
2013
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1413 N Mildred Rd
Cortez, CO 81321-2258
Phone: (970) 564-1037
Fax: (970) 564-1041
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA.0004608 (CO)
Physician Assistant Taxonomy 363A00000X (CT)

Record details

NPI number1205174174
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 28, 2013
Last updated in NPPESNovember 5, 2024
Certification dateNovember 5, 2024

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