Individual provider Active NPI

Amy Michele Lippincott, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Lakewood Ranch, FL
National Provider Identifier
1609093517
Registry record updated May 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146.008595 Issued in IL
Practice address
6307 Longleaf Pine CT
Lakewood Ranch, FL 34202
Phone
(618) 713-0923
NPI assigned
Apr 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 146.008595 IL Primary

Addresses

Primary practice location

6307 Longleaf Pine CT
Lakewood Ranch, FL 34202

Mailing address

6307 Longleaf Pine CT
Lakewood Ranch, FL 34202-2813
Phone (618) 713-0923

Other practice location 1

1971 Stave Mill Rd
Murphysboro, IL 62966-4856
Phone (618) 684-8232

Other identifiers 1

IdentifierTypeStateIssuer
6186848232OtherILINSURANCE

Other names 1

  • Mrs. Amy Michele Newman Former name

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
Master of Science

State licenses

LicenseStateTypeSpecialty
146.008595ILMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526256000000",
    "number": "1609093517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6307 LONGLEAF PINE CT",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342022813",
            "telephone_number": "618-713-0923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6307 LONGLEAF PINE CT",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "34202",
            "telephone_number": "618-713-0923"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1971 Stave Mill Rd",
            "address_purpose": "LOCATION",
            "city": "Murphysboro",
            "state": "IL",
            "postal_code": "629664856",
            "country_code": "US",
            "telephone_number": "618-684-8232",
            "fax_number": "618-684-8232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIPPINCOTT",
        "first_name": "AMY",
        "middle_name": "MICHELE",
        "name_prefix": "Ms.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2018-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.008595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSURANCE",
            "identifier": "6186848232",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "NEWMAN",
            "middle_name": "MICHELE",
            "prefix": "MRS.",
            "credential": "MS, CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lakewood Ranch, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.

Verify at the official NPI Registry.