Jared M Shipp, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

2018 Issued in TX

Practice address

22999 Highway 59 N
Ste 294
Kingwood, TX 77339-4412

Phone

(281) 348-8972

NPI assigned

Jun 4, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Island Foot and Ankle, PLLC

  • Foot & Ankle Surgery Podiatrist
  • Galveston, TX
  • NPI 1922761998
  NPD

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

{
    "created_epoch": "1338768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1487915666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9191 PINECROFT DR",
            "address_2": "STE 100",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773802797",
            "telephone_number": "281-909-7722",
            "fax_number": "281-909-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22999 HIGHWAY 59 N",
            "address_2": "STE 294",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773394412",
            "telephone_number": "281-348-8972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIPP",
        "first_name": "JARED",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-04",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "2018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Shepherd, SLP-CCC
• Kirstin Sherrell
• Jamie Shields, LPC
• Shinewell Services LLC
• Sierra Dawn Shinn, MPAS, PA-C
• Logan Mitchell Sholley, PA-C
• Devin J Shumway, MD
• Esra Shurbjy, MD
• Megan Marie Shutz, OTR
• Srinidhi Shyamkumar, DO

• Foot & Ankle Surgery Podiatrist in Kingwood, TX
• Providers in Kingwood, TX by specialty
• Foot & Ankle Surgery Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; 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.