MEDICARE: DEYANNIA SHIPP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225400000X	Rehabilitation Practitioner

General Provider Information

NPI Number	:	1255156998
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEYANNIA SHIPP

Provider Business Mailing Address
First Line	:	5048 MILANGE ST
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89031-2309
Country	:	US
Telephone Number	:	747-274-8966
Fax Number	:

Provider Business Practice Location Address
First Line	:	5048 MILANGE ST
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89031-2309
Country	:	US
Telephone Number	:	747-274-8966
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/18/2024
Last Update Date	:	12/14/2024

Similar Medicare Providers

1508363169 — JEMEL LEWIS
Practice Location Address:

2309 RIDGE BACK CT
NORTH LAS VEGAS, NV
89031-3803

Practice Phone: 702-343-5395
Practice Fax:

1467001511 — DESIREE SMITH
Practice Location Address:

5048 MILANGE ST
NORTH LAS VEGAS, NV
89031-2309

Practice Phone: 619-647-7696
Practice Fax:

1245178599 — KENNY HOANG DO
Practice Location Address:

1701 W CHARLESTON BLVD STE 490
LAS VEGAS, NV
89102-2309

Practice Phone: 702-671-6474
Practice Fax:

1992565907 — NOAH WALLACE SMITH MD
Practice Location Address:

1701 W CHARLESTON BLVD STE 490
LAS VEGAS, NV
89102-2309

Practice Phone: 702-671-2273
Practice Fax:

1326996570 — NICHOLAS ALASTAIR LIU
Practice Location Address:

1701 W CHARLESTON BLVD STE 490
LAS VEGAS, NV
89102-2309

Practice Phone: 702-671-2273
Practice Fax:

1598414427 — THOMAS DRESSER IRONS MD
Practice Location Address:

1701 W CHARLESTON BLVD STE 490
LAS VEGAS, NV
89102-2309

Practice Phone: 227-370-2671
Practice Fax:

Directions to “ DEYANNIA SHIPP ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.