Active NPI
Michael Lippelt, R.D.
- Registered Dietitian
- Westville, IN
National Provider Identifier
1003339219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 7606 S US Highway 421
Westville, IN 46391-9724 - Phone
- (219) 508-0294
- NPI assigned
- Jul 19, 2017
- Last updated
- Jul 19, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | NU | Primary | |
| Metabolic Nutrition Registered Dietitian | 133VN1006X | NU |
Addresses
Primary practice location
7606 S US Highway 421
Westville, IN 46391-9724
Mailing address
7606 S US Highway 421
Westville, IN 46391-9724
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinic/Center
- Westville, IN
- NPI 1093225765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1500422400000",
"number": "1003339219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7606 S US HIGHWAY 421",
"city": "WESTVILLE",
"state": "IN",
"postal_code": "463919724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7606 S US HIGHWAY 421",
"city": "WESTVILLE",
"state": "IN",
"postal_code": "463919724",
"telephone_number": "219-508-0294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIPPELT",
"first_name": "MICHAEL",
"credential": "R.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-19",
"last_updated": "2017-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "133VN1006X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westville, IN
- Diane Hunt, MD
- Christopher K. Kesling, D.D.S. ,M.S.
- La Porte Regional Physician Network, Inc. (Westville Family Medicine)
- Laboratory Corporation of America Holdings
- Lippelt Clinical and Sports Nutrition LLC
- Michiana Hematology-Oncology P C
- MSD of New Durham Township
- Brenda Noe
- Sharon Orenick, L.C.S.W.
- Dishita B Patel, NP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.