Active NPI
Renae F Hipp, LMSW
- Social Worker
- Portales, NM
National Provider Identifier
1235281478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- M-05563
- Practice address
- 501 S Abilene Ave
Portales, NM 88130-6380 - Phone
- (505) 359-3707
- NPI assigned
- Jan 17, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | M-05563 | NM | Primary |
Addresses
Primary practice location
501 S Abilene Ave
Portales, NM 88130-6380
Mailing address
201 Colorado Dr
Portales, NM 88130-7028
Phone (505) 359-0138
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04506065 | Medicaid | NM |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-05563 | NM | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Portales Municipal Schools | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Local Education Agency (LEA)
- Portales, NM
- NPI 1912073909
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1235281478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 COLORADO DR",
"city": "PORTALES",
"state": "NM",
"postal_code": "881307028",
"telephone_number": "505-359-0138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 S ABILENE AVE",
"city": "PORTALES",
"state": "NM",
"postal_code": "881306380",
"telephone_number": "505-359-3707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIPP",
"first_name": "RENAE",
"middle_name": "F",
"name_prefix": "Mrs.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-17",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NM",
"license": "M-05563",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04506065",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Portales, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.