Active NPI
Deborah A. Lipkin, NP
- Obstetrics & Gynecology Nurse Practitioner
- Somerville, MA
National Provider Identifier
1457446106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- 229810
- Practice address
- 81 Highland Ave
Cha-Somerville Teen Connection
Somerville, MA 02143-1740 - Phone
- (617) 575-5690
- Fax
- (617) 665-1835
- NPI assigned
- Oct 4, 2006
- Last updated
- Feb 19, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | 229810 | MA | Primary |
Addresses
Primary practice location
81 Highland Ave
Cha-Somerville Teen Connection
Somerville, MA 02143-1740
Mailing address
81 Highland Ave
Cha-Somerville Teen Connection
Somerville, MA 02143-1740
Phone (617) 575-5690
Other practice location 1
20 Wall St
Burlington, MA 01803-4758
Phone (781) 221-2940
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AA66627 | Other | MA | HARVARD PILGRIM |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dlipkin17512@direct.atrius.masshiway.net |
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)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 229810 | MA | MD | Obstetrics & Gynecology Nurse Practitioner |
Interoperability endpoints
- dlipkin17512@direct.atrius.masshiway.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613692800000",
"number": "1457446106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "81 HIGHLAND AVE",
"address_2": "CHA-SOMERVILLE TEEN CONNECTION",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "021431740",
"telephone_number": "617-575-5690",
"fax_number": "617-665-1835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "81 HIGHLAND AVE",
"address_2": "CHA-SOMERVILLE TEEN CONNECTION",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "021431740",
"telephone_number": "617-575-5690",
"fax_number": "617-665-1835"
}
],
"practiceLocations": [
{
"address_1": "20 Wall St",
"address_purpose": "LOCATION",
"city": "Burlington",
"state": "MA",
"postal_code": "018034758",
"country_code": "US",
"telephone_number": "781-221-2940",
"fax_number": "781-221-2854",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIPKIN",
"first_name": "DEBORAH",
"middle_name": "A.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2021-02-19",
"certification_date": "2021-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "MA",
"license": "229810",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "AA66627",
"state": "MA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dlipkin17512@direct.atrius.masshiway.net",
"affiliation": "N",
"address_1": "20 Wall St",
"city": "Burlington",
"state": "MA",
"country_code": "US",
"postal_code": "018034758",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Somerville, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.