Deanna Marie Lipscomb, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

012912 Issued in NY

Practice address

1 Pepsi Cola Dr
Jhu Health and Wellness Center
Latham, NY 12110-2306

Phone

(518) 782-2479

NPI assigned

Dec 9, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1228780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1194960955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PEPSI COLA DR",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102306",
            "telephone_number": "518-782-2479",
            "fax_number": "518-783-2634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PEPSI COLA DR",
            "address_2": "JHU HEALTH AND WELLNESS CENTER",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102306",
            "telephone_number": "518-782-2479"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 River Rd Bldg 43-2",
            "address_purpose": "LOCATION",
            "city": "Schenectady",
            "state": "NY",
            "postal_code": "123456000",
            "country_code": "US",
            "telephone_number": "518-385-7011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIPSCOMB",
        "first_name": "DEANNA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-09",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "012912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03524747",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaitlin Limmer
• Lincare Inc.
• Amie Naomi Lindemann, COTA/L
• Talitha Linden-Darrow
• Anne Christine Lindsay, R.N.
• Denise A Lisi, P.A.
• Wallin J Litwa, DO
• Haiying Liu
• Alfredo Lloreda, M.D.
• Christina Loatman

• Physician Assistant in Latham, NY
• Providers in Latham, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; 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.