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JOHNNY SHIPP
NPI 1558820167
Student in an Organized Health Care Education/Training Program in Columbia, MO

Active since March 14, 2019
600 EAST STADIUM BOULEVARD, COLUMBIA, MO 65211(573) 476-7780 Get Directions Write a Review

NPPES record last updated: March 14, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Johnny Shipp NPPES

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

JOHNNY SHIPP (NPI 1558820167) is an individual student in an organized health care education/training program in Columbia, Missouri and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1558820167
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJOHNNY SHIPP
Location Address600 EAST STADIUM BOULEVARDColumbia, MO 65211-0001
Mailing AddressRr 3 Box 3624Thayer, MO 65791-9309 · (573) 476-7780
Phone(573) 476-7780
Sole ProprietorNo
Enumeration DateMarch 14, 2019
✔ NPI 1558820167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
600 EAST STADIUM BOULEVARD, Columbia, MO 65211
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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 Johnny Shipp's NPI number?

The NPI number for Johnny Shipp is 1558820167. It was assigned to this individual provider in the NPPES registry on March 14, 2019.

Where is Johnny Shipp located?

Johnny Shipp practices at 600 East Stadium Boulevard, Columbia, MO 65211. The listed phone number is (573) 476-7780.

What is Johnny Shipp's specialty?

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

When was this NPI record last updated?

The NPPES record for Johnny Shipp was last updated on March 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.