Kimberly Rene' Lipscomb

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

License

1004704 Issued in NC

Practice address

104 Gidney St
Shelby, NC 28150-5806

Phone

(704) 600-8609

NPI assigned

Apr 4, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Kayli Enterprises/Beautiful Reflektions

  • Prosthetic/Orthotic Supplier
  • Shelby, NC
  • NPI 1790316933

  Prosthetics Case Management

  NPD Authorized official

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

{
    "created_epoch": "1396569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1366860488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 GIDNEY ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281505806",
            "telephone_number": "704-600-8609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 GIDNEY ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281505806",
            "telephone_number": "704-600-8609"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2811 W. Sugar Creek Road (Inside Salon Se7en)",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282622826",
            "country_code": "US",
            "telephone_number": "704-600-8679",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIPSCOMB",
        "first_name": "KIMBERLY",
        "middle_name": "RENE'",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-04",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "NC",
            "license": "923616904",
            "primary": false
        },
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "NC",
            "license": "203326",
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "NC",
            "license": "1004704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Life Enrichment Center of Cleveland County, Inc.
• Life Hearing Solutions, PLLC
• Life Provisions, Inc.
• Life Provisions, LLC
• Linda L Hice
• Jessie Listoe
• Desiree Little
• Heather Nicole Littlejohn, LCSWA
• Jessica Reba Littleton, PA
• Yelena Litvinchuk, PA

• Health & Wellness Coach in Shelby, NC
• Providers in Shelby, NC by specialty
• Health & Wellness Coach in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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.