Lynn P Shipman, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G52015 Issued in CA

Practice address

15525 Pomerado Rd
Suite a-2
Poway, CA 92064-2435

Phone

(858) 451-3311

Fax

(858) 451-1142

NPI assigned

Jul 15, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Lynn P Proctor Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279152000000",
    "number": "1770582306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2218 VIA TESORO",
            "city": "ALPINE",
            "state": "CA",
            "postal_code": "919013162",
            "telephone_number": "858-451-3311",
            "fax_number": "858-451-1142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15525 POMERADO RD",
            "address_2": "SUITE A-2",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642435",
            "telephone_number": "858-451-3311",
            "fax_number": "858-451-1142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIPMAN",
        "first_name": "LYNN",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-15",
        "last_updated": "2010-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G52015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNN",
            "last_name": "PROCTOR",
            "middle_name": "P",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Emily Sheldon
• Stephen Wells Shewmake, MD
• Ellen Shieh
• Hayat Shiferaw
• Rani Shina, DDS
• Ziba Azim Shirazi, D.M.D
• Quierra Shugart
• Harminder Sikand, PHARM D
• Alexxander Silva
• Cynthia Simmons, VN

• Specialist in Poway, CA
• Providers in Poway, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2010; 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.