Individual provider Active NPI

Carrie M Shippy, DC

  • Chiropractor
  • Monroe, WI
National Provider Identifier
1730443433
Registry record updated Dec 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4898-12 Issued in WI
Practice address
1730 10TH St
Monroe, WI 53566-1827
Phone
(608) 325-1999
Fax
(608) 325-1997
NPI assigned
Jun 27, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4898-12 WI Primary

Addresses

Primary practice location

1730 10TH St
Monroe, WI 53566-1827

Mailing address

622 East St
Darlington, WI 53530-1360
Phone (608) 325-1999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120718000016 WI Practitioner - Chiropractic 5597921692 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

622 E St
Darlington, WI 53530-1360
Phone (608) 293-0791

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4898-12WIMDChiropractor
4898WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Darlington Chiropractic Clinic, LLC. Chiropractor CurrentSince May 30, 2013 Accepting new patients
Family Chiropractic Clinic of Monroe,S.C. Chiropractor PastSince Dec 8, 2011 Accepting new patients
True Wellness Chiropractic, LLC Chiropractor PastSince May 30, 2013 Accepting new patients

Locations

622 East St
Darlington, WI 53530
Phone (608) 293-0791

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514332800000",
    "number": "1730443433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 EAST ST",
            "city": "DARLINGTON",
            "state": "WI",
            "postal_code": "535301360",
            "telephone_number": "608-325-1999",
            "fax_number": "608-325-1997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 10TH ST",
            "city": "MONROE",
            "state": "WI",
            "postal_code": "535661827",
            "telephone_number": "608-325-1999",
            "fax_number": "608-325-1997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIPPY",
        "first_name": "CARRIE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-27",
        "last_updated": "2017-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4898-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.