Jaelyn Murphy Shipman, RD

Primary specialty

Sports Dietetics Nutrition Registered DietitianTaxonomy code 133VN1501X

License

L004983 Issued in NC

Practice address

482 Hunton Forest Dr NW
Concord, NC 28027-0084

Phone

(704) 661-7191

NPI assigned

Sep 29, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1664409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1265156665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "482 HUNTON FOREST DR NW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280270084",
            "telephone_number": "704-661-7191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "482 HUNTON FOREST DR NW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280270084",
            "telephone_number": "704-661-7191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIPMAN",
        "first_name": "JAELYN",
        "middle_name": "MURPHY",
        "name_prefix": "Mrs.",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-29",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1501X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Sports Dietetics",
            "state": "NC",
            "license": "L004983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zorana Mitchell Sheppard
• Lacie Sherlock
• Chelsea Cline Sherman
• Charles Edgar Shiflett III, LMBT
• Yazzmyn Shinn
• Jody Andrew Shipman
• Jennifer Ann Shirley, DNP, APRN, AGNP-C
• Karrie Shoffner Poston, RN
• Joan S. Short, FNP-C
• Victoria Baylee Short, PA-C

• Sports Dietetics Nutrition Registered Dietitian in Concord, NC
• Providers in Concord, NC by specialty
• Sports Dietetics Nutrition Registered Dietitian in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; 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.