Individual provider Active NPI

Barbara Lipsey, NP

  • Gerontology Nurse Practitioner
  • Humble, TX
National Provider Identifier
1255653150
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
AP144174 Issued in TX
Practice address
12534 Fern Creek TRL
Humble, TX 77346-3063
Phone
(856) 540-8139
NPI assigned
Feb 18, 2010
Last updated
Apr 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 26NP05474400 NJ
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X AP144174 TX
Gerontology Nurse Practitioner 363LG0600X AP144174 TX Primary

Addresses

Primary practice location

12534 Fern Creek TRL
Humble, TX 77346-3063

Mailing address

12534 Fern Creek TRL
Humble, TX 77346-3063

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200303001400 TX Practitioner - Nurse Practitioner 7517394539 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12534 Fern Creek TRL
Humble, TX 77346-3063
Phone (856) 540-8139

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NP05474400NJMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Woundtech of Texas Multi-Specialty CurrentSince Dec 9, 2019 Accepting new patients
Allied Health and Home Care, LLC Multi-Specialty CurrentSince Apr 26, 2021 Accepting new patients
Kjcares, PLLC Multi-Specialty CurrentSince Jul 30, 2022 Accepting new patients

Locations

200 S Park Rd
Ste 200
Hollywood, FL 33021
Phone (866) 986-2263

1626 W Baker Rd
Baytown, TX 77521
Phone (281) 628-7300

2450 Louisiana St
Ste 400
Houston, TX 77006
Phone (713) 446-9706

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1266451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1255653150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12534 FERN CREEK TRL",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773463063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12534 FERN CREEK TRL",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773463063",
            "telephone_number": "856-540-8139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPSEY",
        "first_name": "BARBARA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-18",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NJ",
            "license": "26NP05474400",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP144174",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AP144174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

Verify at the official NPI Registry.