Active NPI
Nathan E Shipley
- Nurse's Aide
- Port Charlotte, FL
National Provider Identifier
1184039695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- Practice address
- 2338 Alton Rd.
Port Charlotte, FL 33952 - Phone
- (941) 268-9821
- NPI assigned
- Jun 23, 2014
- Last updated
- Jun 23, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | FL | ||
| Home Health Aide | 374U00000X | FL | ||
| Nursing Home Administrator | 376G00000X | FL | ||
| Nurse's Aide | 376K00000X | FL | Primary | |
| Driver | 172A00000X | FL |
Addresses
Primary practice location
2338 Alton Rd.
Port Charlotte, FL 33952
Mailing address
2338 Alton Rd.
Port Charlotte, FL 33952
Phone (941) 268-9821
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| #553509 | Other | ATN | |
| ATN#553509 | Medicaid | FL |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403481600000",
"number": "1184039695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2338 ALTON RD.",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "33952",
"telephone_number": "941-268-9821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2338 ALTON RD.",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "33952",
"telephone_number": "941-268-9821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIPLEY",
"first_name": "NATHAN",
"middle_name": "E",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-23",
"last_updated": "2014-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "376G00000X",
"taxonomy_group": "",
"desc": "Nursing Home Administrator",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "FL",
"license": null,
"primary": true
},
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "FL",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ATN",
"identifier": "#553509",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ATN#553509",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Port Charlotte, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.