Individual provider Active NPI

L D Shipp

  • Hearing Instrument Specialist
  • Gainesville, FL
National Provider Identifier
1639211501
Registry record updated Feb 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
AS1671 Issued in FL
Practice address
7257 NW 4TH Blvd
#49
Gainesville, FL 32607-1600
Phone
(352) 378-2351
Fax
(352) 371-4601
NPI assigned
Feb 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X AS1671 FL Primary

Addresses

Primary practice location

7257 NW 4TH Blvd
#49
Gainesville, FL 32607-1600

Mailing address

7257 NW 4TH Blvd
#49
Gainesville, FL 32607-1600
Phone (352) 378-2351

Other identifiers 1

IdentifierTypeStateIssuer
610058900MedicaidFL

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
AS1671FLMDHearing Instrument Specialist

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235260800000",
    "number": "1639211501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7257 NW 4TH BLVD",
            "address_2": "#49",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326071600",
            "telephone_number": "352-378-2351",
            "fax_number": "352-371-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7257 NW 4TH BLVD",
            "address_2": "#49",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326071600",
            "telephone_number": "352-378-2351",
            "fax_number": "352-371-4601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIPP",
        "first_name": "L",
        "middle_name": "D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2009-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "FL",
            "license": "AS1671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "610058900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2009; 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.