Active NPI
Mary Robin Tipton
- Case Manager/Care Coordinator
- Lake Mary, FL
National Provider Identifier
1124302153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 719 Camarague PL
Apartment 101
Lake Mary, FL 32746-5170 - Phone
- (407) 310-3369
- NPI assigned
- Oct 10, 2011
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
719 Camarague PL
Apartment 101
Lake Mary, FL 32746-5170
Mailing address
719 Camarague PL
Apartment 101
Lake Mary, FL 32746-5170
Phone (407) 310-3369
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318204800000",
"number": "1124302153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "719 CAMARAGUE PL",
"address_2": "APARTMENT 101",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327465170",
"telephone_number": "407-310-3369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "719 CAMARAGUE PL",
"address_2": "APARTMENT 101",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327465170",
"telephone_number": "407-310-3369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIPTON",
"first_name": "MARY",
"middle_name": "ROBIN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-10",
"last_updated": "2011-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Mary, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.