Tyler Shipley, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT005602 Issued in OH

Practice address

33 University Estates Blvd Apt 301
Athens, OH 45701

Phone

(724) 984-1536

NPI assigned

Oct 6, 2016

Sex

Male

Sole proprietor

No

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": "1475712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1396295093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 UNIVERSITY ESTATES BLVD APT 301",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457018099",
            "telephone_number": "724-984-1536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 UNIVERSITY ESTATES BLVD APT 301",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "45701",
            "telephone_number": "724-984-1536"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 W Nc Highway 54 Byp Apt 89E",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275162830",
            "country_code": "US",
            "telephone_number": "724-984-1536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIPLEY",
        "first_name": "TYLER",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-06",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "AT005602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Shepherd, LSW, LICDC
• Darci Shields, RES SPEC
• Wendy Lynn Shields, FNP
• Kelly Shiltz
• Joshua Shinsky, CPHT
• Tina V Shirk, LCDCII
• Sarah Shirley
• Pavel Viktorovich Shishlo, APRN FNP-C
• Stacy A Shockley
• Holly Shoemaker

• Athletic Trainer in Athens, OH
• Providers in Athens, OH by specialty
• Athletic Trainer in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.