Jacqueline Lipps

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

364915630691E Issued in OH

Practice address

1711 N Nantucket Dr
Lorain, OH 44053-3219

Phone

(440) 989-1977

NPI assigned

Feb 23, 2007

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247011200000",
    "number": "1285769760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 N NANTUCKET DR",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440533219",
            "telephone_number": "440-989-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 N NANTUCKET DR",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440533219",
            "telephone_number": "440-989-1977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPPS",
        "first_name": "JACQUELINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2009-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "OH",
            "license": "364915630691E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2697854",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiyana Darlene Lighty
• Leigh Limongi
• Steven A Lindsey Jr., PHARMD
• Steven Arthur Lindsey Sr., RPH
• Annette Lipaj
• Gregory Bruce Little, R.PH.
• Nina Liu-Guechev, MS, NCC, LPC
• Zihong Liu, CRNA
• Stacey Livelsberger
• Liwanag Asuncion M.D., Inc

• Home Health Aide in Lorain, OH
• Providers in Lorain, OH by specialty
• Home Health Aide in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2009; 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.