Active NPI
Jean-Paul Lipton
- Personal Care Attendant
- Detroit Lakes, MN
National Provider Identifier
1134833940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Practice address
- 1324 Jackson Ave
Detroit Lakes, MN 56501-4104 - Phone
- (651) 336-2404
- NPI assigned
- Jan 6, 2023
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | MN | Primary |
Addresses
Primary practice location
1324 Jackson Ave
Detroit Lakes, MN 56501-4104
Mailing address
1324 Jackson Ave
Detroit Lakes, MN 56501-4104
Phone (651) 336-2404
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A698657500 | Other | MN | MINNESOTA DEPARTMENT OF HUMAN SERVICES |
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": "1672963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672963200000",
"number": "1134833940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1324 JACKSON AVE",
"city": "DETROIT LAKES",
"state": "MN",
"postal_code": "565014104",
"telephone_number": "651-336-2404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1324 JACKSON AVE",
"city": "DETROIT LAKES",
"state": "MN",
"postal_code": "565014104",
"telephone_number": "651-336-2404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIPTON",
"first_name": "JEAN-PAUL",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-01-06",
"last_updated": "2023-01-06",
"certification_date": "2023-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "MN",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MINNESOTA DEPARTMENT OF HUMAN SERVICES",
"identifier": "A698657500",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Detroit Lakes, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.