Kristin Elaine Shipman, M.D.

Primary specialty

Pediatric Surgery PhysicianTaxonomy code 2086S0120X

License

46850 Issued in CO

Practice address

2055 N High St
#370
Denver, CO 80205-5503

Phone

(303) 839-6001

Fax

(303) 839-6033

NPI assigned

Jul 26, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 6

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pediatric MedicineAlso: General Surgery

Education

University of Missouri, Kansas City, School of Medicine, 2000

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kristin.shipman@hca3.eclinicaldirectplus.com

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

• Healthone Clinic Services - Pediatric Specialties LLC

  • Pediatrics Physician
  • Denver, CO
  • NPI 1720293251

  Pediatric Surgery

  NPD
• HCA Healthone LLC

  • General Acute Care Hospital
  • Denver, CO
  • NPI 1720038946
  NPD (past)
• Healthone Clinic Services - Pediatric Specialties LLC

  • Pediatric Surgery Physician
  • Grand Junction, CO
  • NPI 1003679424
  NPD (past)

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1952591901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 S MONACO ST",
            "address_2": "SUITE 210",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802373486",
            "telephone_number": "303-839-6001",
            "fax_number": "303-839-6033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 N HIGH ST",
            "address_2": "#370",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802055503",
            "telephone_number": "303-839-6001",
            "fax_number": "303-839-6033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIPMAN",
        "first_name": "KRISTIN",
        "middle_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-26",
        "last_updated": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "TX",
            "license": "M2100",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "CO",
            "license": "46850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "74350048",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025770000",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952531901",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "53728301",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952591901",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952591901",
            "state": "SD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "KRISTIN.SHIPMAN@hca3.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "2055 N High St",
            "address_2": "#370",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802055503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Denise Michele Shine, RN
• Shining Speech Studio LLC
• Shining Steps ABA of Colorado LLC
• Kevin K Shinsako, PA-C
• Daran Liam Shipman, LMFT
• Sarah Elise Shipman, MA
• Erin Shippee, OTD, OTR/L
• Hannah Lowell Shippey
• Bethany Shipps, LCSW
• Kenzie Shippy, PA

• Pediatric Surgery Physician in Denver, CO
• Providers in Denver, CO by specialty
• Pediatric Surgery Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; 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.
• 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.