Shanda Bishop

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

C-APN.0003344-C-NP Issued in CO

Practice address

29658 Douglas Rd
Daphne, AL 36526-9533

Phone

(251) 895-3066

NPI assigned

Oct 21, 2021

Last updated

Oct 21, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1634774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1659034064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 E UNION AVE STE 1100",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802372746",
            "telephone_number": "212-369-6757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29658 DOUGLAS RD",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365269533",
            "telephone_number": "251-895-3066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "SHANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-21",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "C-APN.0003344-C-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://nppes.cms.hhs.gov/webhelp/nppeshelp/HEALTH%20INFORMATION%20EXCHANGE.html#:~:text=health%2Dinformation%2Dexchange-,ENDPOINT%20(Optional),trusted%20recipients%20over%20the%20Internet",
            "affiliation": "N",
            "address_1": "7900 E Union Ave Ste 1100",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802372746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ansley Hanson Beverly, LICSW, PIP
• Bianchini-Ogden&Epker/Penry
• Bishop Physical Therapy LLC
• Daniel A Bishop, PT
• Ross Harrison Bishop, MD
• Kimberly Blackmon, PHARMD
• Geoffrey Blake
• Judith Elise Blake, PA-C
• Marci Blanda, LICSW
• Kristen Boeckmann, CRNP

• Psychiatric/Mental Health Nurse Practitioner in Daphne, AL
• Providers in Daphne, AL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.