Active NPI
Jamie Lynn Zipprich, RBT
- Behavior Technician
- Mascoutah, IL
National Provider Identifier
1497257000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-18-49632
- Practice address
- 107 W State St
Mascoutah, IL 62258-1924 - Phone
- (618) 566-0316
- NPI assigned
- Feb 28, 2018
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-18-49632 | IL | Primary |
Addresses
Primary practice location
107 W State St
Mascoutah, IL 62258-1924
Mailing address
973 N 6TH St
Mascoutah, IL 62258-1154
Phone (618) 566-0316
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 |
|---|---|---|---|
| RBT-18-49632 | IL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519776000000",
"number": "1497257000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "973 N 6TH ST",
"city": "MASCOUTAH",
"state": "IL",
"postal_code": "622581154",
"telephone_number": "618-566-0316",
"fax_number": "618-566-0313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 W STATE ST",
"city": "MASCOUTAH",
"state": "IL",
"postal_code": "622581924",
"telephone_number": "618-566-0316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIPPRICH",
"first_name": "JAMIE",
"middle_name": "LYNN",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-28",
"last_updated": "2018-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "IL",
"license": "RBT-18-49632",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mascoutah, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.