VICKI SHIPMAN (NPI# 1366780413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366780413 |
| Entity Type | Individual |
| Full Name | VICKI SHIPMAN |
| Credential | FNP |
| Practice Address |
5727 Prosperity Crossing Dr Ste 1100 Charlotte NC 28269-2206 |
| Mailing Address |
Po Box 19305 Charlotte NC 28219-9305 |
| Practice Telephone | 7048639930 |
| Enumeration Date | 2013-01-24 |
| Last Update Date | 2020-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 5006055 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | 18898 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7810 Providence Rd, Ste 102, Charlotte, NC 282262954 | 7045436636 | |
| 704 Gold Hill Rd, Ste 1200, Fort Mill, SC 297158906 | 7046673380 | |
| 5717 Albemarle Rd, Charlotte, NC 282121634 | 7045632150 | |
| 10210 Couloak Dr, Ste E, Charlotte, NC 282167679 | 7048012000 | |
| 332 N Trade St, Suite 1100, Matthews, NC 281051728 | 7045126850 |
| Street Address |
5727 PROSPERITY CROSSING DR STE 1100 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28269-2206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548254956 | Heather Knutson | Pediatrics | 5727 Prosperity Crossing Dr, Ste 1500, Charlotte, NC 28269-2206 | 2005-08-31 |
| 1922549385 | Catherine Mcclellan | Physician Assistant | 5727 Prosperity Crossing Dr, Ste 2200, Charlotte, NC 28269-2206 | 2017-03-17 |
| 1457747842 | Neema Hooker | Family Medicine | 5727 Prosperity Crossing Dr, Ste 2200, Charlotte, NC 28269-2206 | 2015-04-13 |
| 1275929648 | Ashley Ham | Pediatrics | 5727 Prosperity Crossing Dr, Ste 1500, Charlotte, NC 28269-2206 | 2015-04-12 |
| 1982015335 | Karen Leeds | Pediatrics | 5727 Prosperity Crossing Dr, Ste 1500, Charlotte, NC 28269-2206 | 2014-05-19 |
| 1982049326 | Husna Khan | Pediatrics | 5727 Prosperity Crossing Dr, Ste 1500, Charlotte, NC 28269-2206 | 2013-04-29 |
| 1710278361 | Cecilie Only | Family Medicine | 5727 Prosperity Crossing Dr, Ste 2200, Charlotte, NC 28269-2206 | 2011-04-29 |
| 1710289848 | Elizabeth Schaefer | Physician Assistant | 5727 Prosperity Crossing Dr, Ste 2200, Charlotte, NC 28269-2206 | 2010-11-22 |
| 1790003580 | Eastover University Obstetrics & Gynecology Associates | Obstetrics & Gynecology | 5727 Prosperity Crossing Dr, Ste 2100, Charlotte, NC 28269-2206 | 2010-05-04 |
| 1841526837 | University Pediatrics | Pediatrics | 5727 Prosperity Crossing Dr, Ste 1500, Charlotte, NC 28269-2206 | 2009-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124664438 | Alluring Occupational Therapy Services, Pllc | Occupational Therapy Assistant | 3020-i Prosperity Church Rd, Ste 523, Charlotte, NC 28269 | 2019-11-21 |
| 1366085094 | Crystal R Currie | Counselor | 8824 Cliff Cameron Drive, Uint 107, Charlotte, NC 28269 | 2019-10-25 |
| 1477102879 | Apryl N. Davis | Occupational Therapy Assistant | 3020-i Prosperity Church Rd., Charlotte, NC 28269 | 2019-09-09 |
| 1730744202 | Christopher Paige | Driver | 9805 Statesville Rd., Suite 6198, Charlotte, NC 28269 | 2019-05-09 |
| 1619532892 | Krb Support Services | Prevention Professional | 11634 Oak Street, Charlotte, NC 28269 | 2019-05-03 |
| 1184186769 | Kimberly M Lynch | Local Education Agency (LEA) | 11634 Oat Street, Charlotte, NC 28269 | 2019-04-03 |
| 1356802318 | Arleen M Blythe | Physical Therapy Assistant | 1521 Bucklebury Ct, Charlotte, NC 28269 | 2019-03-30 |
| 1174089064 | Quality Behavioral Health Services, Pllc | Social Worker | 9805 Statesville Rd, # 6095, Charlotte, NC 28269 | 2019-02-15 |
| 1326517855 | Mary Frances Pickens-wilson | Behavior Technician | 4628 Quinton Lane, Charlotte, NC 28269 | 2018-11-14 |
| 1548746605 | Tiffany Michelle Graham | Counselor | 9823 Cooper Run Ln, Charlotte, NC 28269 | 2018-07-12 |
| Find all providers in zip 28269 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215544986 | Tonya Lynn Burris | Nurse Practitioner | 7810 Providence Rd Ste 102, Charlotte, NC 28226-2987 | 2020-09-28 |
| 1003428293 | Kashari Davis | Nurse Practitioner | 4252 Sutwick Dr, Charlotte, NC 28269-6001 | 2020-08-19 |
| 1457972796 | Lindsey O'brien | Nurse Practitioner | 3423 Hornets Nest Way, Charlotte, NC 28208-5224 | 2020-04-28 |
| 1285254904 | Barbara Ballard | Nurse Practitioner | 10731 Haddington Dr Nw, Charlotte, NC 28269-6954 | 2020-04-22 |
| 1710506787 | Lindsey Delcasino Plair | Nurse Practitioner | 1212 South Blvd, Charlotte, NC 28203-4215 | 2020-04-10 |
| 1457991275 | Advanced Physical Medicine | Nurse Practitioner | 8821 University East Dr # 120, Charlotte, NC 28213-4200 | 2020-01-09 |
| 1700447562 | Milford Darnell George Jr. | Nurse Practitioner | 8403 University Executive Park Drive, Suite 685, Charlotte, NC 28262-3330 | 2019-06-24 |
| 1194288241 | Tonya Denise Farmer | Nurse Practitioner | 620 Tom Hunter Road, Charlotte, NC 28213 | 2019-04-06 |
| 1649738204 | Brittany Schmalfeld | Nurse Practitioner | 8943 S Tryon St Unit K, Charlotte, NC 28273-3539 | 2019-03-03 |
| 1407313703 | Natalie Ann Bullock | Nurse Practitioner | 400 E Stonewall St Ste F, Charlotte, NC 28202-3601 | 2019-02-23 |
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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.