Tracy L Shipe, D.O.

Primary specialty

Forensic Pathology PhysicianTaxonomy code 207ZF0201X

License

OS14400 Issued in FL

Practice address

809 Pine St
Leesburg, FL 34748-6047

Phone

(352) 326-5961

Fax

(352) 365-6438

NPI assigned

Jun 1, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1338508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1811258239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 S DANLEY DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339072437",
            "telephone_number": "239-533-6339",
            "fax_number": "239-277-5017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 PINE ST",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347486047",
            "telephone_number": "352-326-5961",
            "fax_number": "352-365-6438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIPE",
        "first_name": "TRACY",
        "middle_name": "L",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-01",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZF0201X",
            "taxonomy_group": "",
            "desc": "Pathology, Forensic Pathology",
            "state": "FL",
            "license": "OS14400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheila Gillikin MD PA
• Thomas J Shen, M.D.
• Jeffrey Sheridan, M.D.
• Jeanie Sherman, COTA/L
• Leah Marie Sherwood, AUD
• Janet Erickson Shipley, LMHC
• Shireen Dhanani DMD PA
• Chrystal Shirley, APRN
• Marielle Grace Shoffstall, LMT
• Ankita Shukla, PT DPT

• Forensic Pathology Physician in Leesburg, FL
• Providers in Leesburg, FL by specialty
• Forensic Pathology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; 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.