Samantha Kay Lippert

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

22415 SE 231St St Ste B103
Maple Valley, WA 98038-5002

Phone

(425) 906-4300

NPI assigned

Dec 22, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Washington Spectrum Schools

  • Community/Behavioral Health Agency
  • Maple Valley, WA
  • NPI 1609769157
  NPD

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

{
    "created_epoch": "1640131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1609536226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22415 SE 231ST ST STE B103",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980385002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22415 SE 231ST ST STE B103",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980385002",
            "telephone_number": "425-906-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPPERT",
        "first_name": "SAMANTHA",
        "middle_name": "KAY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-22",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "WDL5PN59213B",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lyne C Liboiron-Bouie, NP
• Jennifer Elizabeth Lindsay, LMT
• Isabelle Jean Lingle, N/A
• Randi Maire Linn, LMP
• Johnathan Jose Liporada
• Li L Liu, LMP
• Jessica Mae Loepp, COTA/L
• Tiarra London
• Jazmin L Lopez, PT
• Narges Lotfizadeh Dehkordi, DDS

• Behavior Technician in Maple Valley, WA
• Providers in Maple Valley, WA by specialty
• Behavior Technician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; 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.