Active NPI
Stuart S. Shipe, D.O.M., P.a.
- Acupuncturist
- Port St Lucie, FL
National Provider Identifier
1033397302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AP1627
- Legal business name
- STUART S. SHIPE, D.O.M., P.A.
- Practice address
- 1801 SE Hillmoor Dr
Suite A104
Port St Lucie, FL 34952-7553 - Phone
- (772) 398-4550
- Fax
- (772) 398-4552
- NPI assigned
- Feb 8, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stuart S Shipe, D.O.M.
- Title
- Acupuncture Physician
- Phone
- (772) 398-4550
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AP1627 | FL | Primary |
| Pharmacist | 183500000X | PS22540 | FL |
Addresses
Primary practice location
1801 SE Hillmoor Dr
Suite A104
Port St Lucie, FL 34952-7553
Mailing address
1801 SE Hillmoor Dr
Suite A104
Port St Lucie, FL 34952-7553
Phone (772) 398-4550
National Provider Directory
National Provider DirectoryLocations
1801 SE Hillmoor Dr
Ste A-104
Port St Lucie, FL 34952
Phone (561) 398-3311
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Acupuncturist
- Port St Lucie, FL
- NPI 1154509420
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202428800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1202428800000",
"number": "1033397302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 SE HILLMOOR DR",
"address_2": "SUITE A104",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349527553",
"telephone_number": "772-398-4550",
"fax_number": "772-398-4552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 SE HILLMOOR DR",
"address_2": "SUITE A104",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349527553",
"telephone_number": "772-398-4550",
"fax_number": "772-398-4552"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STUART S. SHIPE, D.O.M., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-08",
"last_updated": "2008-02-08",
"status": "A",
"authorized_official_last_name": "SHIPE",
"authorized_official_first_name": "STUART",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "ACUPUNCTURE PHYSICIAN",
"authorized_official_telephone_number": "772-398-4550",
"authorized_official_credential": "D.O.M."
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "FL",
"license": "AP1627",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "FL",
"license": "PS22540",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.