Tammy Marie Lippincott, CRNP (FAMILY)

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP010739 Issued in PA

Practice address

2755 Station Avenue
Desales University Health Center
Center Valley, PA 18034-9568

Phone

(610) 282-1100

Fax

(610) 282-0943

NPI assigned

Mar 15, 2010

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1268611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268611200000",
    "number": "1508180969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2755 STATION AVENUE",
            "address_2": "DESALES UNIVERSITY HEALTH CENTER",
            "city": "CENTER VALLEY",
            "state": "PA",
            "postal_code": "180349568",
            "telephone_number": "610-282-1100",
            "fax_number": "610-282-0943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 STATION AVENUE",
            "address_2": "DESALES UNIVERSITY HEALTH CENTER",
            "city": "CENTER VALLEY",
            "state": "PA",
            "postal_code": "180349568",
            "telephone_number": "610-282-1100",
            "fax_number": "610-282-0943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPPINCOTT",
        "first_name": "TAMMY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "CRNP (FAMILY)",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-15",
        "last_updated": "2010-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP010739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Center Valley, PA
• Providers in Center Valley, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2010; 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.