Purdue University Sports Medicine West Lafayette
Organization Active NPI Registered Dietitian · West Lafayette, IN
NPI 1154797371 · NPPES record last updated Aug 12, 2015
Key facts
- NPI
- 1154797371
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Registered Dietitian 133V00000X
- Legal business name
- PURDUE UNIVERSITY SPORTS MEDICINE WEST LAFAYETTE
- Practice address
- 900 N John R Wooden Dr
West Lafayette, IN 47907-2117 - Phone
- (765) 650-0727
- NPI assigned
- Aug 12, 2015
- Organization subpart
- No
Authorized official
- Name
- Mrs. Jessica Lipsett, AT, DPT
- Title
- Assoc. Director of Sports Medicine
- Phone
- (765) 494-3245
Corporate family (same tax ID) 18
National Provider Directory
- Tax ID family
- Purdue University Sports Medicine West Lafayette
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian |
133V00000X | Yes |
Addresses
Primary practice location
900 N John R Wooden Dr
West Lafayette, IN 47907-2117
Mailing address
900 N John R Wooden Dr
West Lafayette, IN 47907-2117
Phone (765) 650-0727
Other providers in West Lafayette, IN
- Purdue Sports Medicine WL
- Purdue University
- Purdue University
- Purdue University
- Purdue University
- Ravindra Putta
- Whitney Queen
- Benjamin M Rachwal
- Megan Renee Rahn
- Allison Rainey
All providers in West Lafayette, IN · Registered Dietitian in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.