Active NPI
Tanya Shemika Shipman
- Neurology Physician
- Montgomery, AL
National Provider Identifier
1982216867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- MD23542
- Practice address
- 1315 Mulberry St
Montgomery, AL 36106-1132 - Phone
- (334) 262-1113
- NPI assigned
- Aug 20, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | MD23542 | AL | Primary |
Addresses
Primary practice location
1315 Mulberry St
Montgomery, AL 36106-1132
Mailing address
1877 Still Oaks Dr
Montgomery, AL 36117-4808
Phone (334) 235-9895
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD23542 | AL | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurological Care Center of Montgomery PC | Single Specialty | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597881600000",
"number": "1982216867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1877 STILL OAKS DR",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361174808",
"telephone_number": "334-235-9895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1315 MULBERRY ST",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361061132",
"telephone_number": "334-262-1113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIPMAN",
"first_name": "TANYA",
"middle_name": "SHEMIKA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-20",
"last_updated": "2020-08-20",
"certification_date": "2020-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "AL",
"license": "MD23542",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.