Individual provider Active NPI

Nancy P. Lipson, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Tucson, AZ
National Provider Identifier
1245214188
Registry record updated Jul 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
48401 Issued in AZ
Practice address
2102 N. Country Club, BLDG. B
Tucson, AZ 85716
Phone
(520) 795-8371
Fax
(520) 320-3808
NPI assigned
Dec 5, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 01037236A IN
Physical Medicine & Rehabilitation Physician 208100000X 48401 AZ Primary

Addresses

Primary practice location

2102 N. Country Club, BLDG. B
Tucson, AZ 85716

Mailing address

2102 N. Country Club, BLDG. B
Tucson, AZ 85716
Phone (520) 795-8371

Other identifiers 1

IdentifierTypeStateIssuer
100128760MedicaidIN

Other names 1

  • Nancy R. Porter Former name

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)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Major Hospital 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404864000000",
    "number": "1245214188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2102 N. COUNTRY CLUB, BLDG. B",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85716",
            "telephone_number": "520-795-8371",
            "fax_number": "520-320-3808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 N. COUNTRY CLUB, BLDG. B",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85716",
            "telephone_number": "520-795-8371",
            "fax_number": "520-320-3808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPSON",
        "first_name": "NANCY",
        "middle_name": "P.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-05",
        "last_updated": "2014-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IN",
            "license": "01037236A",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AZ",
            "license": "48401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100128760",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "PORTER",
            "middle_name": "R.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; 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.