Fredrick Francis Shipley, LMT

Primary specialty

ContractorTaxonomy code 171W00000X

License

8024 Issued in OR

Practice address

21550 NE Kings Grade
Newberg, OR 97132-6519

Phone

(503) 310-6765

NPI assigned

Feb 1, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1264982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292889600000",
    "number": "1205168234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21550 NE KINGS GRADE",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971326519",
            "telephone_number": "503-310-6765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21550 NE KINGS GRADE",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971326519",
            "telephone_number": "503-310-6765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIPLEY",
        "first_name": "FREDRICK",
        "middle_name": "FRANCIS",
        "name_prefix": "Mr.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-01",
        "last_updated": "2010-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "OR",
            "license": "8024",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA 00016730",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Luke Shannon
• Shaun Davis, PSYD, LLC
• Lian R Shaw, MD
• Heather Shea, LPC
• Priscilla Shim, MA
• Steven Shockley, PA-C
• Carolyn Wood Siegele, MD
• Jill Arlene Sikkema, ATC
• Ronni Skeans, RN
• Gerald D. Smalling, D.C.

• Contractor in Newberg, OR
• Providers in Newberg, OR by specialty
• Contractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; 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.