Michele Diane Lipman, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

ARNP1616662 Issued in FL

Practice address

10920 Technology Ter
Lakewood Ranch, FL 34211-4930

Phone

(941) 757-4820

NPI assigned

Mar 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Michele Diane Morvillo Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463529600000",
    "number": "1497715924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 POMELO AVE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342368439",
            "telephone_number": "941-320-1567",
            "fax_number": "941-960-2231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10920 TECHNOLOGY TER",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342114930",
            "telephone_number": "941-757-4820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPMAN",
        "first_name": "MICHELE",
        "middle_name": "DIANE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-27",
        "last_updated": "2016-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP1616662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "307885000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y01JK",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELE",
            "last_name": "MORVILLO",
            "middle_name": "DIANE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Nurse Practitioner in Lakewood Ranch, FL
• Providers in Lakewood Ranch, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; 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.