Jeremy Bryan Lipka, CARC

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1221 Main St Ste 309
Holyoke, MA 01040-5396

Phone

(413) 316-1446

NPI assigned

Nov 30, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1543536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543536000000",
    "number": "1114497294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 MAIN ST",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013013224",
            "telephone_number": "413-333-9677",
            "fax_number": "413-773-0477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 MAIN ST STE 309",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010405396",
            "telephone_number": "413-316-1446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 Main St",
            "address_purpose": "LOCATION",
            "city": "Greenfield",
            "state": "MA",
            "postal_code": "013013224",
            "country_code": "US",
            "telephone_number": "413-512-5847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIPKA",
        "first_name": "JEREMY",
        "middle_name": "BRYAN",
        "credential": "CARC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-30",
        "last_updated": "2018-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lifespan of Massachusetts - Taunton Inc
• Fengtong Lin
• Augusto Linarez, MA, LMHC
• Meliza Linarez
• Jennifer Lingenberg, MSW, LICSW
• Robert J Liptak, D.M.D.
• Barbara E. Lis, R.N.
• Zenaida Lisboa
• Sarah E Little, RN
• Wei Liu

• Case Manager/Care Coordinator in Holyoke, MA
• Providers in Holyoke, MA by specialty
• Case Manager/Care Coordinator in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2018; 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.