Active NPI
Amber Nicole Lipford, B.S.
- Occupational Therapist
- McKenzie, TN
National Provider Identifier
1487738662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2918
- Practice address
- 175 Hospital Dr
MC Kenzie, TN 38201-1636 - Phone
- (731) 352-3908
- NPI assigned
- Oct 25, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2918 | TN | Primary |
Addresses
Primary practice location
175 Hospital Dr
MC Kenzie, TN 38201-1636
Mailing address
67 Crest Ridge Dr
Jackson, TN 38305-8502
Phone (731) 661-0994
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
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2918 | TN | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487738662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "67 CREST RIDGE DR",
"city": "JACKSON",
"state": "TN",
"postal_code": "383058502",
"telephone_number": "731-661-0994",
"fax_number": "731-352-4579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 HOSPITAL DR",
"city": "MC KENZIE",
"state": "TN",
"postal_code": "382011636",
"telephone_number": "731-352-3908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIPFORD",
"first_name": "AMBER",
"middle_name": "NICOLE",
"name_prefix": "Mrs.",
"credential": "B.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TN",
"license": "2918",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McKenzie, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.