Individual provider Active NPI

Deborah A. Lipkin, NP

  • Obstetrics & Gynecology Nurse Practitioner
  • Somerville, MA
National Provider Identifier
1457446106
Registry record updated Feb 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
229810 Issued in MA
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
AA66627OtherMAHARVARD PILGRIM

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
229810MAMDObstetrics & Gynecology Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: 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.

Verify at the official NPI Registry.