MRS. LISA THERESA LIPPINCOTT


Address: 210 E Main St Ste D, Tupelo, MS 38804-4017
Phone: 6622056905

MRS. LISA THERESA LIPPINCOTT (NPI# 1750416905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750416905
Entity Type Individual
Full Name MRS. LISA THERESA LIPPINCOTT
Credential NP
Practice Address 210 E Main St Ste D
Tupelo
MS 38804-4017
Mailing Address 210 E Main St
Ste 2b
Tupelo
MS 38804-4017
Practice Telephone 6622056905
Practice Fax Number 6622696722
Mailing Telephone 6628443728
Mailing Fax Number 6628443739
Enumeration Date 2007-02-21
Last Update Date 2020-07-23
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
APN18181 TN Physician Assistants & Advanced Practice Nursing Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
R679054 MS Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MS 02974702 05

Other Providers LISA LIPPINCOTT

NPI Name Taxonomy Address Enumeration
1841414158 Lisa Lippincott Pharmacist 358 George W Liles Pkwy Nw, Concord, NC 28027 2007-04-11
1629251483 Lisa Gagliardi Lippincott Nurse Practitioner 3701 Market St, 7th Floor Suite 741, Philadelphia, PA 19104-5502 2007-12-14

Office Location

Street Address 210 E MAIN ST STE D
City TUPELO
State MS
Zip Code 38804-4017

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548874159 Susan Me'chelle Oliver Nurse Practitioner 874 Barnes Crossing Road, Tupelo, MS 38804 2020-09-01
1134762784 Kimberly J Adams Occupational Therapy Assistant 90 Clark Ave, Tupelo, MS 38804 2019-10-25
1790270924 Megan Guntharp Occupational Therapist 960 Commonwealth Boulevard, Tupelo, MS 38804 2018-06-29
1154867562 Urologic Ambulatory Surgery Center, LLC Clinic/Center 3353 N Gloster Street, Suite 300, Tupelo, MS 38804 2017-01-09
1790235919 Dr Scott Dickinson D.m. D. PC Dentist 3999 N Gloster Street, Tupelo, MS 38804 2016-10-12
1326496621 Angela Estes Occupational Therapist County Road 1279 House#197, Tupelo, MS 38804 2016-05-26
1316300080 Eric Wade Tillotson Family Medicine 1665 South Green Street, Tupelo, MS 38804 2016-03-31
1104238898 Stella M. Johnson Social Worker 2292 Camelot Cir, Tupelo, MS 38804 2014-05-29
1821437351 Lenka Petersen Student in an Organized Health Care Education/Training Program 1665 S Green St., Nmmc, Tupelo, MS 38804 2013-06-18
1083966303 Jessica M Baskett Counselor 398 E Main St, Tupelo, MS 38804 2012-10-10
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548874159 Susan Me'chelle Oliver Nurse Practitioner 874 Barnes Crossing Road, Tupelo, MS 38804 2020-09-01
1710532668 Sondra Bennett Pmhnp-bc LLC Nurse Practitioner 144 S Thomas St Ste 207, Tupelo, MS 38801-5337 2019-08-07
1891353413 Jennifer Warren Pmhnp-bc LLC Nurse Practitioner 315 Magazine St Ste D, Tupelo, MS 38804-3974 2019-05-29
1548783509 Ashley Cooper Nurse Practitioner 499 Gloster Creek Vlg Ste A-3, Tupelo, MS 38801-4600 2017-07-21
1356707400 Jennifer K Warren Nurse Practitioner 315 Magazine St Ste C, Tupelo, MS 38804-4802 2016-01-05
1275182818 Andrea Paige Pounds Nurse Practitioner 2434 S Eason Blvd, Tupelo, MS 38804-6942 2019-09-06
1710532239 Sabrina Hurd Hall Nurse Practitioner 1937 Briar Ridge Rd, Tupelo, MS 38804-5963 2019-08-02
1023572294 Colby Ponder Nurse Practitioner 2434 S Eason Blvd, Tupelo, MS 38804-6942 2019-01-22
1730656422 Emily L Mccormac Nurse Practitioner 2434 S Eason Blvd, Tupelo, MS 38804-6942 2018-10-31
1790138873 Katherine E Ederer Nurse Practitioner 2434 S Eason Blvd, Tupelo, MS 38804-6942 2016-07-13
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Competitor

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City TUPELO
Zip Code 38804

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Dataset Information

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.

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