MRS. SHYANNE ROSELYNN SHIPP (NPI# 1265709794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265709794 |
| Entity Type | Individual |
| Full Name | MRS. SHYANNE ROSELYNN SHIPP |
| Credential | RN, IBCLC |
| Practice Address |
1706 Delivery Ln Durant OK 74701-2292 |
| Mailing Address |
Po Box 579 Durant OK 74702-0579 |
| Practice Telephone | 5807455228 |
| Practice Fax Number | 5809209976 |
| Mailing Telephone | 5807455228 |
| Mailing Fax Number | 5809209976 |
| Enumeration Date | 2011-11-29 |
| Last Update Date | 2011-11-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WL0100X |
Registered Nurse Specialization: Lactation Consultant |
772299 | TX | Nursing Service Providers |
| Y | 163WL0100X |
Registered Nurse Specialization: Lactation Consultant |
92357 | OK | Nursing Service Providers |
| Street Address |
1706 DELIVERY LN |
| City | DURANT |
| State | OK |
| Zip Code | 74701-2292 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164478541 | Kinion Whittington | Specialist | 1706 Delivery Ln, Durant, OK 74701-2292 | 2006-05-26 |
| 1972008142 | Osu Center for Health Sciences | Clinic/Center | 1706 Delivery Ln, Durant, OK 74701-2292 | 2018-03-28 |
| 1316109630 | Autumn Lynn Hensley | Obstetrics & Gynecology | 1706 Delivery Ln, Durant, OK 74701-2292 | 2008-06-27 |
| 1457491904 | Randall Jason Davault | Surgery | 1706 Delivery Ln, Durant, OK 74701-2292 | 2007-02-07 |
| 1770658700 | Osu Center for Health Sciences | Clinic/Center | 1706 Delivery Ln, Durant, OK 74701-2292 | 2006-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134738362 | Elevate Therapy, Pllc | Physical Therapist | 523 N Wshington Ave, Durant, OK 74701 | 2020-07-23 |
| 1093334906 | Duncan Kovash | Nurse Practitioner | 1901 Chukka Hina, Durant, OK 74701 | 2020-04-10 |
| 1184193690 | Inventive Therapy Services, LLC | Occupational Therapist | 2620 Maxey Dr, Durant, OK 74701 | 2018-11-14 |
| 1790271831 | Jazmine Gabrielle Benavidez | Specialist/Technologist | 1713 North 1st Avenue, Durant, OK 74701 | 2018-07-02 |
| 1538659586 | Katelen Sue Morgan | Case Manager/Care Coordinator | 1011 Donna Sue Pl, Durant, OK 74701 | 2018-05-15 |
| 1164941035 | Nsight for Life LLC | Community/Behavioral Health | 1313 N 16th, Durant, OK 74701 | 2017-09-12 |
| 1023534666 | Damon Dye | Physical Therapist | 30 W 3rd St, Durant, OK 74701 | 2017-08-15 |
| 1437605250 | Casey Worsham | Nurse Practitioner | 1800 W University, Durant, OK 74701 | 2016-08-31 |
| 1083160857 | Denise Adanho | Case Manager/Care Coordinator | 1218 Stonebrook Circle, Durant, OK 74701 | 2016-08-31 |
| 1962850271 | Justi Thompson | Case Manager/Care Coordinator | 4817 Ciara St, Durant, OK 74701 | 2016-05-26 |
| Find all providers in zip 74701 | ||||
| Taxonomy Code | 163WL0100X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Lactation Consultant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306456645 | Shantel Harlin | Registered Nurse | 6208 N Vermont Ave, Oklahoma City, OK 73112-1312 | 2020-08-02 |
| 1609425339 | Lindsey B Mcreynolds | Registered Nurse | 1403 Oakridge Rd, Ardmore, OK 73401-3611 | 2019-09-05 |
| 1962054882 | Jayme Provine | Registered Nurse | 3300 Healthplex Parkway, Lactation Dept, Norman, OK 73072 | 2019-07-11 |
| 1942764634 | Rhonda S Sullivan | Registered Nurse | 1902 S Nyssa Pl, Broken Arrow, OK 74012-9093 | 2019-01-26 |
| 1902373327 | Green Country Lactation LLC | Registered Nurse | 809 W Juneau St, Broken Arrow, OK 74012-0765 | 2018-10-24 |
| 1972088375 | Amber Michelle Richards | Registered Nurse | 3722 Plantation Dr, Enid, OK 73703-1449 | 2018-10-01 |
| 1437639564 | Kyla Pfannenstiel | Registered Nurse | 11426 S Nandina Ave, Jenks, OK 74037-2168 | 2018-08-17 |
| 1447738604 | Michelle Walton | Registered Nurse | 3330 Nw Expressway, Oklahoma City, OK 73112-4418 | 2018-07-31 |
| 1356866131 | Rachel Celeste Weaver | Registered Nurse | 712 W Lakeshore Dr, Stillwater, OK 74075-1335 | 2017-08-14 |
| 1528501160 | Melissa Taylor | Registered Nurse | 1601 W Utica St, Broken Arrow, OK 74011-1600 | 2016-11-30 |
| Find all providers with the same taxonomy | ||||
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| 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.