Individual provider Active NPI

Tiffany Lipsey

  • Clinical Exercise Physiologist
  • Fort Collins, CO
National Provider Identifier
1386218584
Registry record updated May 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Exercise PhysiologistTaxonomy code 224Y00000X
License
3605
Practice address
1582 Campus Delivery
910 Moby Drive
Fort Collins, CO 80523-1582
Phone
(970) 491-7035
Fax
(970) 491-7677
NPI assigned
May 13, 2021
Last updated
May 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Exercise Physiologist 224Y00000X 3605 Primary

Addresses

Primary practice location

1582 Campus Delivery
910 Moby Drive
Fort Collins, CO 80523-1582

Mailing address

1582 Campus Delivery
910 Moby Drive
Fort Collins, CO 80523-1582
Phone (970) 491-7035

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1386218584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1582 CAMPUS DELIVERY",
            "address_2": "910 MOBY DRIVE",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805231582",
            "telephone_number": "970-491-7035",
            "fax_number": "970-491-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1582 CAMPUS DELIVERY",
            "address_2": "910 MOBY DRIVE",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805231582",
            "telephone_number": "970-491-7035",
            "fax_number": "970-491-7677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPSEY",
        "first_name": "TIFFANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-13",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Y00000X",
            "taxonomy_group": "",
            "desc": "Clinical Exercise Physiologist",
            "state": null,
            "license": "3605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; 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.