Brenda Lee Lipps

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN089345IV Issued in OH

Practice address

6597 St RT 7
Andover, OH 44003

Phone

(440) 969-0554

NPI assigned

Jan 7, 2008

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 names 1

• Ms. Brenda Lee Stevens Former name

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": "1199664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199664000000",
    "number": "1356526529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 526",
            "city": "ANDOVER",
            "state": "OH",
            "postal_code": "44003",
            "telephone_number": "440-293-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6597 ST RT 7",
            "city": "ANDOVER",
            "state": "OH",
            "postal_code": "44003",
            "telephone_number": "440-969-0554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPPS",
        "first_name": "BRENDA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-07",
        "last_updated": "2008-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN089345IV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENDA",
            "last_name": "STEVENS",
            "middle_name": "LEE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Caitlin Jones
• Joseph Charles Healthcare Services Inc
• Grant Charles Kirkwood, CDCA
• Rose M Lewis
• Taylor Lipinsky
• Lorne J Lipps
• Sally Marie Madden
• Daniel Malone, MD
• Dorothy Jean Martin
• Sarah Martin

• Licensed Practical Nurse in Andover, OH
• Providers in Andover, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; 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.