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JERRY SHIPP
NPI 1396336822
Religious Nonmedical Practitioner in Sapulpa, OK

Active since January 28, 2021
11680 S 153RD WEST AVE, SAPULPA, OK 74066(918) 639-4684(918) 639-4684 Get Directions Write a Review

NPPES record last updated: January 28, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jerry Shipp NPPES

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

JERRY SHIPP (NPI 1396336822) is an individual religious nonmedical practitioner in Sapulpa, Oklahoma and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1396336822
Entity TypeIndividualMale
Primary Taxonomy374K00000X
Provider Legal NameJERRY SHIPP
Location Address11680 S 153RD WEST AVESapulpa, OK 74066-8564
Mailing Address11680 S 153rd West AveSapulpa, OK 74066-8564 · (918) 639-4684 · Fax (918) 639-4684
Phone(918) 639-4684
Fax(918) 639-4684
Sole ProprietorNo
Enumeration DateJanuary 28, 2021
NPPES CertifiedJanuary 28, 2021
✔ NPI 1396336822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyReligious Nonmedical PractitionerNursing Service Related Providers
Taxonomy Code374K00000X
Definition
A religious nonmedical practitioner offers spiritually-based care. Services may be rendered in an office, home, or care facility or by phone, email, or written correspondence.
11680 S 153RD WEST AVE, Sapulpa, OK 74066
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Other Providers at the Same Location NPPES 20

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

JIM HOSKINS
Religious Nonmedical Practitioner
11680 S 153RD WEST AVE
SAPULPA, OK 74066
Creek County (918) 639-4684
DAVID MARRS
Peer Specialist
11680 S 153RD WEST AVE
SAPULPA, OK 74066
Creek County (918) 639-6484
DENNIS SMITH
Religious Nonmedical Practitioner
11680 S 153RD WEST AVE
SAPULPA, OK 74066
Creek County (918) 639-4684
KERA TAYLOR
Religious Nonmedical Practitioner
11680 S 153RD WEST AVE
SAPULPA, OK 74066
Creek County (918) 639-4684
LIFEGATE FREEDOM RECOVERY MINISTRIES, INC.
Substance Abuse Rehabilitation Facility
11680 S 153RD WEST AVE
SAPULPA, OK 74066
Creek County (918) 639-4684
GREGORY KIRBY
Peer Specialist
11680 S 153RD WEST AVE
SAPULPA, OK 74066
Creek County (918) 639-4684
CHRISTOPHER GUIDRY
Peer Specialist
11680 S 153RD WEST AVE
SAPULPA, OK 74066
Creek County (918) 497-6580
LEON YOUNG
Religious Nonmedical Practitioner
11680 S 153RD WEST AVE
SAPULPA, OK 74066
Creek County (539) 238-6024

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 Jerry Shipp's NPI number?

The NPI number for Jerry Shipp is 1396336822. It was assigned to this individual provider in the NPPES registry on January 28, 2021.

Where is Jerry Shipp located?

Jerry Shipp practices at 11680 S 153rd West Ave, Sapulpa, OK 74066. The listed phone number is (918) 639-4684.

What is Jerry Shipp's specialty?

The primary specialty registered for this NPI is Religious Nonmedical Practitioner with taxonomy code 374K00000X.

When was this NPI record last updated?

The NPPES record for Jerry Shipp was last updated on January 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.