Active NPI
Gracie Shipley
- Behavior Technician
- Saint Louis, MO
National Provider Identifier
1629869201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 9374 Olive Blvd
Saint Louis, MO 63132-3267 - Phone
- (314) 932-2402
- NPI assigned
- May 14, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
9374 Olive Blvd
Saint Louis, MO 63132-3267
Mailing address
330 Upper Conway Estates CT
Saint Louis, MO 63141-8515
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747180800000",
"number": "1629869201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 UPPER CONWAY ESTATES CT",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631418515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9374 OLIVE BLVD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631323267",
"telephone_number": "314-932-2402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIPLEY",
"first_name": "GRACIE",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2025-05-14",
"last_updated": "2025-05-14",
"certification_date": "2025-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.