Randall Shipp, CMT

Primary specialty

ContractorTaxonomy code 171W00000X

License

0019005037 Issued in VA

Practice address

1802 Augustine Ave
Fredericksburg, VA 22401-4606

Phone

(540) 840-1111

NPI assigned

Dec 17, 2007

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197849600000",
    "number": "1861675563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3671",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224023671",
            "telephone_number": "540-840-1111",
            "fax_number": "540-372-3337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 AUGUSTINE AVE",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014606",
            "telephone_number": "540-840-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIPP",
        "first_name": "RANDALL",
        "credential": "CMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-17",
        "last_updated": "2007-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "VA",
            "license": "0019005037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wan Shin, M.D.
• Hasnain Mohammad Shinwari
• Zachary Ryan Shipe
• Jackie Shipman, MD
• Jessica Nichole Shipman
• Debra Marie Shirt, SLP
• Jennifer Sholtis, NP
• Caeley Ann Short
• Rose Ann M Shrum, CRNA
• Nebiyu Shukur, M.D.

• Contractor in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Contractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; 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.