Sarah Shippy
Individual provider Active NPI Athletic Trainer · Colome, SD
NPI 1033729520 · NPPES record last updated May 13, 2021
Key facts
- NPI
- 1033729520
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 29359 324TH Ave
Colome, SD 57528-6017 - Phone
- (605) 840-4709
- NPI assigned
- Aug 9, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Yes |
Addresses
Primary practice location
29359 324TH Ave
Colome, SD 57528-6017
Mailing address
29359 324TH Ave
Colome, SD 57528-6017
Other providers in Colome, SD
All providers in Colome, SD · Athletic Trainer in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.