DESTINEE SHIPLEY
NPI 1184382053
Student in an Organized Health Care Education/Training Program in Memphis, TN

Active since December 07, 2021PECOS Enrolled
920 MADISON AVENUE, SUITE 447, MEMPHIS, TN 38103(901) 448-3714 Get Directions Write a Review

NPPES record last updated: April 19, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Destinee Shipley NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DESTINEE SHIPLEY (NPI 1184382053) is an individual student in an organized health care education/training program in Memphis, Tennessee and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184382053
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDESTINEE SHIPLEY
Location Address920 MADISON AVENUE, SUITE 447Memphis, TN 38103
Mailing Address920 Madison Avenue, Suite 447Memphis, TN 38103 · (901) 448-3714
Sole ProprietorNo
Enumeration DateDecember 7, 2021
Last NPPES UpdateApril 19, 2023
NPPES CertifiedApril 19, 2023
NPI 1184382053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
920 MADISON AVENUE, Memphis, TN 38103

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Destinee Shipley is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
920 MADISON AVENUE, SUITE 447
MEMPHIS, TN 38103
Student in an Organized Health Care Education/Training Program
920 MADISON AVENUE, SUITE 447
MEMPHIS, TN 38103
Student in an Organized Health Care Education/Training Program
920 MADISON AVENUE, SUITE 447
MEMPHIS, TN 38103

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Destinee Shipley's NPI number?

The NPI number for Destinee Shipley is 1184382053. It was assigned to this individual provider in the NPPES registry on December 7, 2021.

Where is Destinee Shipley located?

Destinee Shipley practices at 920 Madison Avenue Suite 447, Memphis, TN 38103. The listed phone number is (901) 448-3714.

What is Destinee Shipley's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Destinee Shipley enrolled in Medicare?

Yes. Destinee Shipley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Destinee Shipley was last updated on April 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.