Connie Lynn Tipton

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

NA

Practice address

800 Scenic Dr BLDG F
Modesto, CA 95350-6131

Phone

(209) 525-7412

Fax

(209) 525-7457

NPI assigned

Feb 23, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• NA NA NA Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366578650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3322",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953533322",
            "telephone_number": "209-525-7412",
            "fax_number": "209-525-7457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 SCENIC DR BLDG F",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953506131",
            "telephone_number": "209-525-7412",
            "fax_number": "209-525-7457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIPTON",
        "first_name": "CONNIE",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": "NA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NA",
            "last_name": "NA",
            "middle_name": "NA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Erica Hide Tinajero
• Luis Tinajero
• Diego Tinoco
• Htay Htay Tint, MD
• Audrey Oen Tio, M.D.
• Susan Kathleen Tipton, RN NP
• Deborah Doris Titre-Hayfron, M.D.
• Ericka Jazmin Tiu
• Perla Tizoc Valdez
• Jessica Tober

• Mental Health Counselor in Modesto, CA
• Providers in Modesto, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.