Lippelt Clinical and Sports Nutrition LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

LIPPELT CLINICAL AND SPORTS NUTRITION LLC

Practice address

7606 S US Highway 421
Westville, IN 46391-9724

Phone

(219) 508-0294

NPI assigned

Oct 6, 2017

Last updated

Oct 6, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Lippelt, RDNPI 1003339219

Title

Manager

Phone

(219) 508-0294

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Lippelt, R.D.

  • Registered Dietitian
  • Westville, IN
  • NPI 1003339219
  Authorized official Same address or phone

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

{
    "created_epoch": "1507248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507248000000",
    "number": "1093225765",
    "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": {
        "organization_name": "LIPPELT CLINICAL AND SPORTS NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-06",
        "last_updated": "2017-10-06",
        "status": "A",
        "authorized_official_last_name": "LIPPELT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "219-508-0294",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Nicole Crittendon, FNP-C
• 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
• Michael Lippelt, R.D.
• Michiana Hematology-Oncology P C
• MSD of New Durham Township
• Brenda Noe
• Sharon Orenick, L.C.S.W.

• Clinic/Center in Westville, IN
• Providers in Westville, IN by specialty
• Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.

Verify at the official NPI Registry.