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

Sophia Rennee Shard

Individual provider Nurse Practitioner · NPI 1689565681

Sophia Rennee Shard is a Nurse Practitioner in New York, New York. Qualified in 2025, 1 year ago. Practices with Premier House Calls LLC, a 10-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Nevada and New York.

Years since qualifying
1
Licensed in
NV, NY
In the registry since
2025
Specialties on file
3
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Practice location Address checks out

489 5th Ave Fl 3
New York, NY 10017-6145
Phone: (888) 663-6331
Fax: (415) 272-7176
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6720 Via Austi Pkwy Ste 250, Las Vegas, NV 89119-3568 — (917) 213-3770

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 358288 (NY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 869104 (NV)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 869104 (NV)

Record details

NPI number1689565681
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 9, 2025
Last updated in NPPESApril 10, 2026
Certification dateApril 10, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Premier House Calls Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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