Active NPI
Jane L. Tippet, PHD
- Psychologist
- Manhattan, KS
National Provider Identifier
1013130517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1056
- Practice address
- 2001 Claflin Rd
Manhattan, KS 66502-3415 - Phone
- (785) 587-4300
- Fax
- (785) 587-4305
- NPI assigned
- Apr 11, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1056 | KS | Primary |
Addresses
Primary practice location
2001 Claflin Rd
Manhattan, KS 66502-3415
Mailing address
2001 Claflin Rd
Manhattan, KS 66502-3415
Phone (785) 587-4300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050310000824 | KS | Practitioner - Clinical Psychologist | 0446204580 | Practice locations: Manhattan, KS |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
2980 Dogwood Lane
Vermillion, KS 66544-8693
2980 Dogwood LN
Vermillion, KS 66544-8693
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1056 | KS | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245024000000",
"number": "1013130517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 CLAFLIN RD",
"city": "MANHATTAN",
"state": "KS",
"postal_code": "665023415",
"telephone_number": "785-587-4300",
"fax_number": "785-587-4305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 CLAFLIN RD",
"city": "MANHATTAN",
"state": "KS",
"postal_code": "665023415",
"telephone_number": "785-587-4300",
"fax_number": "785-587-4305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIPPET",
"first_name": "JANE",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-11",
"last_updated": "2009-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "KS",
"license": "1056",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manhattan, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.