Individual provider Active NPI

Jeffrey Sprague Lippincott, L.AC.

  • Acupuncturist
  • Ellensburg, WA
National Provider Identifier
1073715850
Registry record updated Nov 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC00002972 Issued in WA
Practice address
105 W 5TH Ave
Suite 106
Ellensburg, WA 98926-3178
Phone
(509) 607-9952
NPI assigned
Jun 4, 2007
Last updated
Nov 2, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC00002972 WA Primary
Massage Therapist 225700000X MA00020535 WA

Addresses

Primary practice location

105 W 5TH Ave
Suite 106
Ellensburg, WA 98926-3178

Mailing address

502 N Anderson St
Ellensburg, WA 98926-3147
Phone (509) 607-9952

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AC00002972WAMDAcupuncturist
MA00020535WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Stone Spa PLLC Acupuncturist PastSince Feb 2, 2025 Accepting new patients
Middle Path Acupuncture & Oriental Medicine Acupuncturist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225584000000",
    "number": "1073715850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 N ANDERSON ST",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989263147",
            "telephone_number": "509-607-9952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W 5TH AVE",
            "address_2": "SUITE 106",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989263178",
            "telephone_number": "509-607-9952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPPINCOTT",
        "first_name": "JEFFREY",
        "middle_name": "SPRAGUE",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-04",
        "last_updated": "2008-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC00002972",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00020535",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellensburg, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.