Individual provider Active NPI

James Reynaldo Shipp, CRNA

  • Certified Registered Nurse Anesthetist
  • McAllen, TX
National Provider Identifier
1770761199
Registry record updated Aug 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
748784 Issued in TX
Practice address
316 Sandpiper Ave
Apt #1107
McAllen, TX 78504-1760
Phone
(318) 470-5064
NPI assigned
Feb 7, 2008
Last updated
Aug 28, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 748784 TX Primary
Anesthesiology Physician 207L00000X 748784 TX

Addresses

Primary practice location

316 Sandpiper Ave
Apt #1107
McAllen, TX 78504-1760

Mailing address

2417 Colorado St
Apt #1107
Mission, TX 78572-9589
Phone (318) 470-5064

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080714000274 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 6709959406 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Compass Anesthesia Providers, PLLCGroup PAC ID 4082040878, 164 clinicians

Practice addresses (Care Compare)

1475 FM 1960 Bypass Rd E
Townsen Memorial Hospital
Humble, TX 77338-3909
Phone (281) 369-9001

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Physicians Anesthesiology of Texas PLLC Anesthesiology CurrentSince Oct 1, 2020 Accepting new patients
Compass Anesthesia Providers PLLC Anesthesiology CurrentSince Sep 24, 2020 Accepting new patients
Northstar Anesthesia, PA Anesthesiology CurrentSince Sep 1, 2013 Accepting new patients

Locations

2000 E Lamar Blvd
Ste 400
Arlington, TX 76006
Phone (817) 861-3994

4201 Garth Rd
Ste 212
Baytown, TX 77521
Phone (281) 420-9355

2001 W Rosedale St
Ft Worth, TX 76104
Phone (817) 877-4777

909 9th Ave
Ft Worth, TX 76104
Phone (817) 336-6060

1401 St Joseph Pkwy
Houston, TX 77002
Phone (713) 575-1000

1917 Ashland St
Houston, TX 77008
Phone (713) 861-6161

510 W Tidwell Rd
Houston, TX 77091
Phone (281) 618-8500

1475 FM 1960 Bypass Rd E
Humble, TX 77338
Phone (281) 369-9001

301 W Expressway 83
McAllen, TX 78503
Phone (956) 467-9552

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

1211 Highway 6
Sugar Land, TX 77478
Phone (281) 238-3900

1211 Highway 6
Ste 70
Sugar Land, TX 77478
Phone (281) 238-3902

2225 Williams Trace Blvd
Ste 108
Sugar Land, TX 77478
Phone (281) 240-4300

6801 Emmett F Lowry Expy
Texas City, TX 77591
Phone (409) 938-5095

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219881600000",
    "number": "1770761199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2417 COLORADO ST",
            "address_2": "APT #1107",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785729589",
            "telephone_number": "318-470-5064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 SANDPIPER AVE",
            "address_2": "APT #1107",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785041760",
            "telephone_number": "318-470-5064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIPP",
        "first_name": "JAMES",
        "middle_name": "REYNALDO",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-07",
        "last_updated": "2008-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "748784",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "748784",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; 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.