DR. DENVER SHIPMAN (NPI# 1194243022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194243022 |
| Entity Type | Individual |
| Full Name | DR. DENVER SHIPMAN |
| Credential | PHARM.D. |
| Practice Address |
3900 University Blvd Tyler TX 75799-6600 |
| Practice Telephone | 9035656539 |
| Mailing Telephone | 9035656539 |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2017-08-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1835P1300X |
Pharmacist Specialization: Psychiatric |
PH4043 | HI | Pharmacy Service Providers |
| Y | 1835P1300X |
Pharmacist Specialization: Psychiatric |
1-16873 | KS | Pharmacy Service Providers |
| Street Address |
3900 UNIVERSITY BLVD |
| City | TYLER |
| State | TX |
| Zip Code | 75799-6600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164406773 | Gayle Pegler Varnell | Nurse Practitioner | 3900 University Blvd, Tyler, TX 75799-0001 | 2005-12-06 |
| 1063020501 | Kacy Combest | Counselor | 3900 University Blvd, Tyler, TX 75799-6600 | 2020-07-21 |
| 1457991697 | Cody Bryan Oliver | Physical Medicine & Rehabilitation | 3900 University Blvd, Tyler, TX 75799-6600 | 2020-01-15 |
| 1538644091 | Amanda Gwin Goudelock | Student in an Organized Health Care Education/Training Program | 3900 University Blvd, Tyler, TX 75799-6600 | 2018-10-01 |
| 1326523994 | Naina Kishore | Student in an Organized Health Care Education/Training Program | 3900 University Blvd, Tyler, TX 75799-6600 | 2018-09-30 |
| 1891270922 | Molly Laine Butcher | Student in an Organized Health Care Education/Training Program | 3900 University Blvd, Tyler, TX 75701-6601 | 2018-09-25 |
| 1679058747 | Nathaniel Llave | Student in an Organized Health Care Education/Training Program | 3900 University Blvd, Tyler, TX 75799-6600 | 2018-09-25 |
| 1457836595 | Splenderah Seyram Hodo | Student in an Organized Health Care Education/Training Program | 3900 University Blvd, Tyler, TX 75799-6600 | 2018-09-25 |
| 1447735584 | Ryan Francis | Student in an Organized Health Care Education/Training Program | 3900 University Blvd, Tyler, TX 75799-6600 | 2018-09-25 |
| 1548744626 | Fei Zhao | Student in an Organized Health Care Education/Training Program | 3900 University Blvd, Tyler, TX 75799-6600 | 2018-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659855476 | Victoria Ezeh | Student in an Organized Health Care Education/Training Program | 3900 University Blvd # 128, Tyler, TX 75799-6600 | 2018-09-18 |
| 1619451069 | Delight Onyejegbu | Student in an Organized Health Care Education/Training Program | 3900 University Blvd # 128, Tyler, TX 75799-6600 | 2018-09-21 |
| Taxonomy Code | 1835P1300X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Psychiatric |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing care of patients with psychiatric illness by assessing and monitoring patients, recognizing drug-induced problems, and recommending appropriate treatment plans. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669900833 | Samantha Marie Vogel | Pharmacist | 1301 W 38th St Ste 700, Austin, TX 78705-1016 | 2017-05-31 |
| 1053761676 | Nina Vadiei | Pharmacist | 3400 Harmon Ave Apt 469, Austin, TX 78705-2375 | 2016-06-14 |
| 1407106750 | Morgan Snyder | Pharmacist | 7603 Eastcrest Dr, Austin, TX 78752-1409 | 2012-09-13 |
| 1336341254 | Jerry Wade Lee | Pharmacist | 1950 Aspen, Lubbock, TX 79403 | 2007-06-04 |
| 1104047364 | Ronald Leon Thomas | Pharmacist | 1350 N. Westmoreland, Pharmacy Service, Dallas, TX 75211 | 2007-05-02 |
| 1184717688 | Crystal Henderson | Pharmacist | 1001 Lake Carolyn Pkwy Apt 516, Irving, TX 75039-4816 | 2006-10-02 |
| 1174513972 | Catherine Susan Hall | Pharmacist | 325 Wallace St, Seguin, TX 78155-5959 | 2005-10-24 |
| 1013902519 | Leah B Nunez | Pharmacist | 1401 S Rangerville Rd, Harlingen, TX 78552-7638 | 2005-09-12 |
| 1740281716 | Mishelle R Seiler | Pharmacist | 8720 Country Glen Xing, Plano, TX 75024-3780 | 2005-08-02 |
| 1427058346 | Delphina Chikamele Mitima-samuel | Pharmacist | 9727 Mckinney Ln, Missouri City, TX 77459 | 2005-07-21 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. DENVER SHIPMAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.