Active NPI
Amy Allison Shipley, M.S. CCC-SLP
- Speech-Language Pathologist
- Hilo, HI
National Provider Identifier
1740889674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP-1534
- Practice address
- 563 Kaumana Dr
Hilo, HI 96720-1812 - Phone
- (808) 498-0100
- Fax
- (808) 935-5801
- NPI assigned
- Oct 21, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP-1534 | HI | Primary |
Addresses
Primary practice location
563 Kaumana Dr
Hilo, HI 96720-1812
Mailing address
2881 Kaiwiki Rd
Hilo, HI 96720-9729
Phone (808) 351-6741
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14049954 | Other | AMERICAN SPEECH-LANGUAGE HEARING ASSOCIATION; | |
| SP-1534 | Other | HI | STATE OF HAWAII DEPARTMENT OF COMMERCE & CONSUMER AFFAIRS |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP-1534 | HI | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603238400000",
"number": "1740889674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2881 KAIWIKI RD",
"city": "HILO",
"state": "HI",
"postal_code": "967209729",
"telephone_number": "808-351-6741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "563 KAUMANA DR",
"city": "HILO",
"state": "HI",
"postal_code": "967201812",
"telephone_number": "808-498-0100",
"fax_number": "808-935-5801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIPLEY",
"first_name": "AMY",
"middle_name": "ALLISON",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-21",
"last_updated": "2020-10-21",
"certification_date": "2020-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "HI",
"license": "SP-1534",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN SPEECH-LANGUAGE HEARING ASSOCIATION;",
"identifier": "14049954",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF HAWAII DEPARTMENT OF COMMERCE & CONSUMER AFFAIRS",
"identifier": "SP-1534",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hilo, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.