Individual provider Active NPI

Sharon D. Lipscomb, F.N.P.

  • Family Nurse Practitioner
  • Minneapolis, MN
National Provider Identifier
1295801694
Registry record updated May 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3347000 Issued in NY
Practice address
333 Washington Ave N
Ste 5000
Minneapolis, MN 55401-1377
Phone
(612) 659-7111
Fax
(612) 659-7101
NPI assigned
Nov 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3347000 NY Primary

Addresses

Primary practice location

333 Washington Ave N
Ste 5000
Minneapolis, MN 55401-1377

Mailing address

333 Washington Ave N
Ste 5000
Minneapolis, MN 55401-1377
Phone (612) 659-7111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20140213001356 NY Practitioner - Nurse Practitioner 2163651175 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3347000NYMDFamily Nurse Practitioner

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": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306108800000",
    "number": "1295801694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 WASHINGTON AVE N",
            "address_2": "STE 5000",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554011377",
            "telephone_number": "612-659-7111",
            "fax_number": "612-659-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 WASHINGTON AVE N",
            "address_2": "STE 5000",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554011377",
            "telephone_number": "612-659-7111",
            "fax_number": "612-659-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPSCOMB",
        "first_name": "SHARON",
        "middle_name": "D.",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2011-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "3347000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.