Active NPI
Tiffany Dawn Lipscomb, AANP, APRN, NP-C
- Family Nurse Practitioner
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 204971
- Practice address
- 2903 W Britton Rd
Oklahoma City, OK 73120-4433 - Phone
- (405) 849-4650
- NPI assigned
- Aug 10, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 204971 | OK | Primary |
Addresses
Primary practice location
2903 W Britton Rd
Oklahoma City, OK 73120-4433
Mailing address
1101 Juno Cir
Edmond, OK 73003-6064
Phone (405) 550-9426
Other practice location 1
1101 Juno Cir
Edmond, OK 73003-6064
Phone (405) 550-9426
Other practice location 2
14101 N Eastern Ave Ste B
Edmond, OK 73013-5860
Phone (405) 237-5698
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 204971 | Other | OK | BOARD OF NURSING |
Other names 1
- Tiffany Dawn Rightmire
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Edmond | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211123000279 | OK | Practitioner - Nurse Practitioner | 9436548989 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Icare Center LLC
Practice addresses (Care Compare)
21001 SE 29TH St
Harrah, OK 73045-6591
Phone (405) 391-5526
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 204971 | OK | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icare Center LLC | Current | Accepting new patients |
Locations
404 W Main St
Davis, OK 73030
Phone (405) 391-5526
21001 SE 29th St
Harrah, OK 73045
Phone (405) 391-5526
2903 W Britton Rd
Oklahoma City, OK 73120
Phone (405) 755-8028
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": "1628553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652918400000",
"number": "1417622747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 JUNO CIR",
"city": "EDMOND",
"state": "OK",
"postal_code": "730036064",
"telephone_number": "405-550-9426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2903 W BRITTON RD",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731204433",
"telephone_number": "405-849-4650"
}
],
"practiceLocations": [
{
"address_1": "1101 Juno Cir",
"address_purpose": "LOCATION",
"city": "Edmond",
"state": "OK",
"postal_code": "730036064",
"country_code": "US",
"telephone_number": "405-550-9426",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14101 N Eastern Ave Ste B",
"address_purpose": "LOCATION",
"city": "Edmond",
"state": "OK",
"postal_code": "730135860",
"country_code": "US",
"telephone_number": "405-237-5698",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIPSCOMB",
"first_name": "TIFFANY",
"middle_name": "DAWN",
"name_prefix": "Mrs.",
"credential": "AANP, APRN, NP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-10",
"last_updated": "2022-05-19",
"certification_date": "2022-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "204971",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF NURSING",
"identifier": "204971",
"state": "OK"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Edmond",
"affiliation": "N",
"endpointDescription": "beginning",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Edmond",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Edmond",
"address_1": "1101 Juno Cir",
"city": "Edmond",
"state": "OK",
"country_code": "US",
"postal_code": "730036064",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "TIFFANY",
"last_name": "RIGHTMIRE",
"middle_name": "DAWN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.