Individual provider Active NPI

Shandricka Shipp

  • Behavior Technician
  • Tallahassee, FL
National Provider Identifier
1437860871
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-21-194333 Issued in FL
Practice address
1909 Hillbrooke TRL Ste 3
Tallahassee, FL 32311-7902
Phone
(850) 299-4862
NPI assigned
Dec 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-21-194333 FL Primary

Addresses

Primary practice location

1909 Hillbrooke TRL Ste 3
Tallahassee, FL 32311-7902

Mailing address

1909 Hillbrooke TRL Ste 3
Tallahassee, FL 32311-7902
Phone (850) 299-4862

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address SSHIPP@TEAMPBS.COM Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RBT-21-194333FLMDBehavior Technician

Interoperability endpoints

  • Direct secure messaging: sshipp@teampbs.com

NPI Registry JSON

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

{
    "created_epoch": "1670371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1437860871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 HILLBROOKE TRL STE 3",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323117902",
            "telephone_number": "850-299-4862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 HILLBROOKE TRL STE 3",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323117902",
            "telephone_number": "850-299-4862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIPP",
        "first_name": "SHANDRICKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-07",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-21-194333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SSHIPP@TEAMPBS.COM",
            "affiliation": "N",
            "endpointDescription": "WORK EMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1909 Hillbrooke Trl Ste 3",
            "city": "Tallahassee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "323117902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.