Individual provider Active NPI

Candice Ramona Shipp, APRN, WHNP-BC

  • Family Nurse Practitioner
  • Austin, TX
National Provider Identifier
1467943985
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP136793 Issued in TX
Practice address
3500 W Slaughter LN
Austin, TX 78749-4421
Phone
(512) 292-6832
Fax
(512) 406-6216
NPI assigned
May 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X AP136793 TX
Family Nurse Practitioner 363LF0000X AP136793 TX Primary

Addresses

Primary practice location

3500 W Slaughter LN
Austin, TX 78749-4421

Mailing address

3500 W Slaughter LN
Austin, TX 78749-4421
Phone (512) 292-6832

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220627000696 TX Practitioner - Nurse Practitioner 4082093729 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3500 W Slaughter LN
Austin, TX 78749-4421
Phone (866) 389-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP136793TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Regional Clinic, PA CurrentSince Jun 7, 2022 Accepting new patients
Minuteclinic Telehealth Services of Texas Association Family CurrentSince Aug 8, 2024 Accepting new patients
Austin Regional Clinic, PA CurrentSince Jun 7, 2022 Accepting new patients
Minuteclinic Diagnostic of Texas PLLC CurrentSince Aug 8, 2024 Accepting new patients
Minuteclinic Diagnostic of Texas PLLC Family Current Accepting new patients
Allara Medical Group PA Past Accepting new patients

Locations

1540 E Main St
Allen, TX 75002
Phone (214) 383-9765

3500 W Slaughter Ln
Austin, TX 78749
Phone (512) 292-6832

12201 Renfert Way
Ste 250
Austin, TX 78758
Phone (512) 901-1506

6210 E Highway 290
Austin, TX 78723

6835 Austin Center Blvd
Austin, TX 78731
Phone (512) 231-5210

5526 S Congress Ave
Austin, TX 78745
Phone (512) 462-3820

601 N Industrial Blvd
Bedford, TX 76021
Phone (817) 283-0161

151 Exchange Blvd
Ste 500
Hutto, TX 78634
Phone (512) 846-1244

3103 Fry Rd
Katy, TX 77449
Phone (281) 646-2964

1413 Oates Dr
Mesquite, TX 75150
Phone (972) 613-7001

9522 Broadway St
Pearland, TX 77584
Phone (713) 436-8151

1855 Gattis School Rd
Round Rock, TX 78664
Phone (512) 238-6268

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: candice.shipp@335000925634564.direct.elationemr.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1467943985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 W SLAUGHTER LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787494421",
            "telephone_number": "512-292-6832",
            "fax_number": "512-406-6216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 W SLAUGHTER LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787494421",
            "telephone_number": "512-292-6832",
            "fax_number": "512-406-6216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIPP",
        "first_name": "CANDICE",
        "middle_name": "RAMONA",
        "credential": "APRN, WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-21",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "AP136793",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP136793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.