Sandra Kay Shipley, RNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

8242 Issued in CA

Practice address

3637 Arlington Ave # E202
Riverside, CA 92506-3923

Phone

(951) 683-4675

Fax

(951) 683-1148

NPI assigned

Dec 19, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Harbinder S Brar MD Inc

  • Specialist
  • Riverside, CA
  • NPI 1659512325
  NPD

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1235313750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3637 ARLINGTON AVE # E202",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063923",
            "telephone_number": "951-683-4675",
            "fax_number": "951-683-1148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3637 ARLINGTON AVE # E202",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063923",
            "telephone_number": "951-683-4675",
            "fax_number": "951-683-1148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIPLEY",
        "first_name": "SANDRA",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "RNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-19",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "8248",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "CA",
            "license": "8248",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "8242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF REGISTERED NURSI",
            "identifier": "363735",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Suk Young Shin
• Yunjoo Shin, MD
• Kendyl Shindler
• Debra Shipley, M.A.
• Karen Shipley, MFT
• Tyron Shipp
• Melvin Lloyd Shirer, D.C.
• Rauni Shirley, DPT
• Zana Shirwan, M.D.
• Maleehah Shittu

• Nurse Practitioner in Riverside, CA
• Providers in Riverside, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; 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.