Delois Shipp

Primary specialty

Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X

License

AF33 Issued in FL

Practice address

8942 6TH Ave
Jacksonville, FL 32208-2126

Phone

(904) 766-1850

NPI assigned

Jan 10, 2015

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

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

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.

• Shipp Adult Family Care Home

  • Physical Disabilities Residential Treatment Facility
  • Jacksonville, FL
  • NPI 1851711279

  Residential Treatment Facility, Physical Disabilities

  NPD (past) Authorized official

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

{
    "created_epoch": "1420848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420848000000",
    "number": "1427447739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8942 6TH AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322082126",
            "telephone_number": "904-766-1850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8942 6TH AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322082126",
            "telephone_number": "904-766-1850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIPP",
        "first_name": "DELOIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-10",
        "last_updated": "2015-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "FL",
            "license": "AF33",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141412700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shining Stars Applied Behavior Analysis Corp.
• Shinymax
• Hannah Marie Shipe
• Shipp Adult Family Care Home
• Arianne Shipp, DO
• Dror Shir, MD
• Ehsan Shirazi, MD
• David Wayne Shirey Jr., PT, DPT
• Shirley & Associates Chartered
• Shirley & Associates Chartered Inc.

• Physical Disabilities Residential Treatment Facility in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Physical Disabilities Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2015; 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.