Individual provider Active NPI

Cullen F Shipman, M.D.

  • Family Medicine Physician
  • Guilford, VT
National Provider Identifier
1487689535
Registry record updated Sep 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
219761 Issued in MA
Practice address
491 Coolidge Hwy
Guilford, VT 05301-8015
Phone
(802) 579-1748
Fax
(413) 475-3055
NPI assigned
Jul 11, 2006
Last updated
Sep 27, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 219761 MA Primary

Addresses

Primary practice location

491 Coolidge Hwy
Guilford, VT 05301-8015

Mailing address

27 Madison Cir
Greenfield, MA 01301-2723
Phone (413) 522-2467

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1245NHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Woodcock Chiropractic Clinic Past Accepting new patients
Primary Care Health Partners PastSince Dec 6, 2022 Accepting new patients
Regional Physician Services, PC PastSince Nov 1, 2007 Accepting new patients
Sterling Emergency Services of the Midwest, Inc Past Accepting new patients
Holyoke Health Center Inc. Past Accepting new patients
Deirdre H. Donaldson, M.D., PLC PastSince Sep 28, 2015 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8825/brand/4/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506470400000",
    "number": "1487689535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 MADISON CIR",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013012723",
            "telephone_number": "413-522-2467",
            "fax_number": "413-475-3055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 COOLIDGE HWY",
            "city": "GUILFORD",
            "state": "VT",
            "postal_code": "053018015",
            "telephone_number": "802-579-1748",
            "fax_number": "413-475-3055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIPMAN",
        "first_name": "CULLEN",
        "middle_name": "F",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2017-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "219761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guilford, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2017; 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.