Shannon Shipe

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

20084 Issued in SC

Practice address

2707 Celanese Rd
Rock Hill, SC 29732-9406

Phone

(866) 389-2727

NPI assigned

Nov 6, 2012

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Shannon Castelli Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: shannon.shipe@135040546177028.direct.elationemr.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Summit Plastic and Hand Surgery PA

  • Plastic and Reconstructive Surgery Physician
  • Fort Mill, SC
  • NPI 1447205844
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1352160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459123200000",
    "number": "1083968440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2707 CELANESE RD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297329406",
            "telephone_number": "866-389-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 CELANESE RD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297329406",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIPE",
        "first_name": "SHANNON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-06",
        "last_updated": "2016-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP012439",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "20084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "CASTELLI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mary Jane Shepard, RN
• Stephen H Shepard, PA
• Sherer'S Senior Homecare LLC
• Scott Sherrill, PTA
• Shiland Family Medicine
• Jacob Shirk, DMD
• Shoes Etc LLC
• Kendra Sholar, COTA
• Elizabeth W Shropshire, RPH
• Larissa Donnell Shuler, M.S.P, CCC-SLP

• Family Nurse Practitioner in Rock Hill, SC
• Providers in Rock Hill, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.