Active NPI
Jennifer Lea Pippin, LMT
- Massage Therapist
- Oklahoma City, OK
National Provider Identifier
1467880047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 585723
- Practice address
- 1414 SW 89TH St
Oklahoma City, OK 73159-6943 - Phone
- (405) 703-8424
- NPI assigned
- Oct 17, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | |||
| Massage Therapist | 225700000X | 585723 | OK | Primary |
Addresses
Primary practice location
1414 SW 89TH St
Oklahoma City, OK 73159-6943
Mailing address
1404 SW 71St St
Oklahoma City, OK 73159-3406
Phone (405) 371-9785
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 585723 | OK | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542240000000",
"number": "1467880047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1404 SW 71ST ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731593406",
"telephone_number": "405-371-9785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1414 SW 89TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731596943",
"telephone_number": "405-703-8424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIPPIN",
"first_name": "JENNIFER",
"middle_name": "LEA",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-17",
"last_updated": "2018-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": null,
"license": null,
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OK",
"license": "585723",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Nov 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.