SHANE ANDREW TIPTON (NPI# 1962482877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962482877 |
| Entity Type | Individual |
| Full Name | SHANE ANDREW TIPTON |
| Credential | PA-C |
| Practice Address |
1000 Greenley Rd Sonora CA 95370-5200 |
| Practice Telephone | 2095365000 |
| Mailing Telephone | 2095365000 |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2010-03-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SE0003X |
Clinical Nurse Specialist Specialization: Emergency |
PA17521 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | OPA175210 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114321775 | Shane Tipton | Nurse Practitioner | 6363 Forest Park Road 7th Floor Ste 749, Dallas, TX 75390-4426 | 2014-10-10 |
| 1073977948 | Shane Tipton | Student in an Organized Health Care Education/Training Program | Medical Center Blvd, Winston Salem, NC 27157-1070 | 2016-04-07 |
| Street Address |
1000 GREENLEY RD |
| City | SONORA |
| State | CA |
| Zip Code | 95370-5200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881697431 | Barbara L. Bammann | Physical Medicine & Rehabilitation | 1000 Greenley Rd, Sonora, CA 95370-5200 | 2005-05-27 |
| 1720608938 | Robert Louis Stone IIi | Pharmacist | 1000 Greenley Rd, Sonora, CA 95370-5200 | 2020-04-17 |
| 1356976724 | Andrew J Addley | Registered Nurse | 1000 Greenley Rd, Sonora, CA 95370-5200 | 2020-03-06 |
| 1518506500 | Joshua Lee Hawkins | Nurse Anesthetist, Certified Registered | 1000 Greenley Rd, Sonora, CA 95370-5200 | 2019-12-23 |
| 1295215630 | Melanie Marie Patton | Nurse Practitioner | 1000 Greenley Rd, Sonora, CA 95370-5200 | 2018-08-15 |
| 1952894883 | Susan Zuniga | Nurse Practitioner | 1000 Greenley Rd, Sonora, CA 95370-5200 | 2018-06-14 |
| 1811486616 | Jason L Hwang Md Inc | Radiology | 1000 Greenley Rd, Sonora, CA 95370-5200 | 2018-05-07 |
| 1275056319 | Melissa Ann Delise | Physical Therapist | 1000 Greenley Rd, Sonora, CA 95370-5200 | 2017-07-20 |
| 1407378698 | Kelsea Waite | Occupational Therapist | 1000 Greenley Rd, Sonora, CA 95370-5200 | 2017-07-10 |
| 1174055313 | Anke Hapig | Registered Nurse | 1000 Greenley Rd, Sonora, CA 95370 | 2017-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174056089 | Chris Neves | Case Management | 427 N Highway 49, Suite 305, Sonora, CA 95370 | 2017-04-07 |
| 1528433885 | Michael French Dds Dental Corporation | General Acute Care Hospital | 800 Morningstar Dr, Sonora, CA 95370 | 2015-12-11 |
| 1942681465 | Amanda Evans | Registered Nurse | 20111 Cedar Rd North, Sonor, CA 95370 | 2015-06-10 |
| 1043625916 | Cicely Chen | Obstetrics & Gynecology | 900 Greenley Rd, Suite 922 Adventist Health (sierra Ob/, Sonora, CA 95370 | 2014-06-30 |
| 1457781692 | Donnie E Campbell | Homeopath | 63 South Stewart St, Sonora, CA 95370 | 2013-11-26 |
| 1386078186 | Jo Ann M Rascon | Marriage & Family Therapist | 38 N Washington St, Suite F, Sonora, CA 95370 | 2013-08-28 |
| 1831449735 | Sami Rhodes | Case Manager/Care Coordinator | 427 N. Highway 49, Sonora, CA 95370 | 2012-09-18 |
| 1619225273 | Melissa Parrish | Registered Nurse | 20111 Cedar Rd. North, Sonora, CA 95370 | 2012-08-29 |
| 1295033504 | Magdalena Martinez Bauman | Marriage & Family Therapist | 175 Fairview Ln., Sonora, CA 95370 | 2011-03-10 |
| 1588804215 | Holly Gwendolyn Harris | Physical Therapist | 15274 Camino Del Parque Rd. S, Sonora, CA 95370 | 2009-02-20 |
| Find all providers in zip 95370 | ||||
| Taxonomy Code | 364SE0003X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Emergency |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194262113 | Jennifer Glidden | Clinical Nurse Specialist | 10336 Wilshire Blvd, 602, Los Angeles, CA 90024-4730 | 2017-01-28 |
| 1134188501 | Joshua Salome Inez Luftig | Clinical Nurse Specialist | 1411 East 31 Street, Oakland, CA 94602-1018 | 2006-03-22 |
| 1508832965 | Hilda A Villarreal | Clinical Nurse Specialist | 1209 Woodrow Ave, Modesto, CA 95350-1288 | 2006-02-27 |
| 1205347309 | Julie A Rossie | Clinical Nurse Specialist | 700 Lawrence Expy, Santa Clara, CA 95051-5173 | 2017-10-16 |
| 1487017919 | Candice Castro Medina | Clinical Nurse Specialist | 26520 Cactus Ave, Moreno Valley, CA 92555-3927 | 2016-04-01 |
| 1548353329 | Harold Edward Baker Ix | Clinical Nurse Specialist | 825 Delbon Avenue, Turlock, CA 95380-2016 | 2006-10-02 |
| 1215986732 | Brandon Lee Shulman | Clinical Nurse Specialist | 1411 East 31st Street, Oakland, CA 94602-1018 | 2006-05-10 |
| 1003887480 | Patricia Scott Meyer | Clinical Nurse Specialist | 1411 E 31st St, Oakland, CA 94602-1018 | 2006-02-01 |
| 1457331373 | Linda J Shipp | Clinical Nurse Specialist | 825 Delbon Ave, Turlock, CA 95380-2016 | 2006-01-18 |
| 1225018237 | Kuljinder Dosanjh | Clinical Nurse Specialist | 825 Delbon Ave, Turlock, CA 95382-2016 | 2006-01-18 |
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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.