Active NPI
Amy Lipple, SLP
- Speech-Language Pathologist
- Oak Park, MI
National Provider Identifier
1255798062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 7001001180
- Practice address
- 25900 Greenfield Road
Suite 100
Oak Park, MI 48237-1297 - Phone
- (248) 788-4300
- Fax
- (248) 605-8099
- NPI assigned
- Jan 25, 2016
- Last updated
- Jan 25, 2016
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 7001001180 | MI | Primary |
Addresses
Primary practice location
25900 Greenfield Road
Suite 100
Oak Park, MI 48237-1297
Mailing address
25900 Greenfield Road
Suite 100
Oak Park, MI 48237-1297
Phone (248) 788-4300
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7001001180 | MI | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453680000000",
"number": "1255798062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25900 GREENFIELD ROAD",
"address_2": "SUITE 100",
"city": "OAK PARK",
"state": "MI",
"postal_code": "482371297",
"telephone_number": "248-788-4300",
"fax_number": "248-605-8099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25900 GREENFIELD ROAD",
"address_2": "SUITE 100",
"city": "OAK PARK",
"state": "MI",
"postal_code": "482371297",
"telephone_number": "248-788-4300",
"fax_number": "248-605-8099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIPPLE",
"first_name": "AMY",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-25",
"last_updated": "2016-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MI",
"license": "7001001180",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Park, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.