Individual provider Active NPI

Alissa Lorraine Shipley, CLC, CLD

  • Doula
  • Akron, OH
National Provider Identifier
1093495111
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
License
3-202009 Issued in OH
Practice address
115 Harcourt Dr
Akron, OH 44313-6508
Phone
(234) 206-0228
NPI assigned
Jul 24, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN) 174N00000X ALPP-348004 OH
Doula 374J00000X 3-202009 OH Primary

Addresses

Primary practice location

115 Harcourt Dr
Akron, OH 44313-6508

Mailing address

115 Harcourt Dr
Akron, OH 44313-6508
Phone (234) 206-0228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ALPP-348004OHMDLactation Consultant (Non-RN)
3-202009OHMDDoula

NPI Registry JSON

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1093495111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 HARCOURT DR",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443136508",
            "telephone_number": "234-206-0228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 HARCOURT DR",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443136508",
            "telephone_number": "234-206-0228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIPLEY",
        "first_name": "ALISSA",
        "middle_name": "LORRAINE",
        "name_prefix": "Mrs.",
        "credential": "CLC, CLD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "OH",
            "license": "ALPP-348004",
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "OH",
            "license": "3-202009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.