Jake Bradley Lipps

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

236041 Issued in LA

Practice address

40068 Davis Dr
Ponchatoula, LA 70454-6410

Phone

(985) 974-9687

NPI assigned

Sep 8, 2020

Last updated

Jul 11, 2024By the provider in NPPES

Sex

Male

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

Enrolled in LA

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Louisiana State University School of Medicine in New Orleans Faculty GGroup PAC ID 0244136448, 445 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University Medical Center New Orleans Hospital, New Orleans, LA, CCN 190005

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Louisiana State University School of Medicine in New Orleans Faculty G

  dba LSU Healthcare Network

  • Multi-Specialty Clinic/Center
  • New Orleans, LA
  • NPI 1477582526
  Medicare reassignment Care Compare group NPD
• Louisiana State University School of Medicine in New Orleans Faculty G

  dba Lsu Healthcare Network

  • Durable Medical Equipment & Medical Supplies
  • Kenner, LA
  • NPI 1316417629
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• University Medical Center Management Corporation

  dba University Medical Center New Orleans

  • General Acute Care Hospital
  • New Orleans, LA
  • NPI 1568403111
  Care Compare affiliation

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1659985596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40068 DAVIS DR",
            "city": "PONCHATOULA",
            "state": "LA",
            "postal_code": "704546410",
            "telephone_number": "985-974-9687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40068 DAVIS DR",
            "city": "PONCHATOULA",
            "state": "LA",
            "postal_code": "704546410",
            "telephone_number": "985-974-9687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPPS",
        "first_name": "JAKE",
        "middle_name": "BRADLEY",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-08",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "236041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lacy's Sitter Service, LLC (Lacy's Sitter Service)
• Melissa A. Lama, N.P.
• Rory Lambert, PHARMD
• Robert Alexander Landry, RPH
• LFR Enterprises (Floyd's Family Pharmacy #2 (Bedico))
• Angelica Lirette, DPT
• Long's Transportation Service, LLC
• Samantha Megan Lopez, D.C.
• Jennifer Loraso
• Louisiana CVS Pharmacy, L.L.C. (CVS Pharmacy #05294)

• Certified Registered Nurse Anesthetist in Ponchatoula, LA
• Providers in Ponchatoula, LA by specialty
• Certified Registered Nurse Anesthetist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.