Active NPI
Annie Lipscomb
- Neonatal Nurse Practitioner
- Easley, SC
National Provider Identifier
1588066583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- 363LN0000X
- Practice address
- 200 Fleetwood Dr
Easley, SC 29640-2022 - Phone
- (864) 442-7200
- NPI assigned
- Sep 22, 2014
- 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 |
|---|---|---|---|---|
| Neonatal Nurse Practitioner | 363LN0000X | 363LN0000X | SC | Primary |
Addresses
Primary practice location
200 Fleetwood Dr
Easley, SC 29640-2022
Mailing address
1 Independence PT Ste 212
Greenville, SC 29615-4536
Phone (864) 797-6174
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 363LN0000X | SC | MD | Neonatal Nurse Practitioner |
Interoperability endpoints
- alipscomb173652@direct.ghs.myhfn.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541462400000",
"number": "1588066583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 INDEPENDENCE PT STE 212",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296154536",
"telephone_number": "864-797-6174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 FLEETWOOD DR",
"city": "EASLEY",
"state": "SC",
"postal_code": "296402022",
"telephone_number": "864-442-7200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIPSCOMB",
"first_name": "ANNIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-22",
"last_updated": "2018-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "SC",
"license": "363LN0000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Easley, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.