Individual provider Active NPI

Freda Bailey Shipman, MSW, LCSW

  • Blind Rehabilitation Specialist/Technologist
  • Lexington, NC
National Provider Identifier
1093738908
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Blind Rehabilitation Specialist/TechnologistTaxonomy code 2255R0406X
License
C000765 Issued in NC
Practice address
2250 Leestown Road
11E4-LD
Lexington, NC 40502-2235
Phone
(859) 281-3916
Fax
(859) 281-3967
NPI assigned
Jul 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Blind Rehabilitation Specialist/Technologist 2255R0406X C000765 NC Primary

Addresses

Primary practice location

2250 Leestown Road
11E4-LD
Lexington, NC 40502-2235

Mailing address

1101 Veterans Drive
11E4-LD
Lexington, NC 40502-2235
Phone (859) 281-3916

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
C000765NCMDBlind Rehabilitation Specialist/Technologist

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093738908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 VETERANS DRIVE",
            "address_2": "11E4-LD",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "405022235",
            "telephone_number": "859-281-3916",
            "fax_number": "859-281-3967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 LEESTOWN ROAD",
            "address_2": "11E4-LD",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "405022235",
            "telephone_number": "859-281-3916",
            "fax_number": "859-281-3967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIPMAN",
        "first_name": "FREDA",
        "middle_name": "BAILEY",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255R0406X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Rehabilitation, Blind",
            "state": "NC",
            "license": "C000765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.