Individual provider Active NPI

Elizabeth Lieppman, ND

  • Naturopath
  • San Diego, CA
National Provider Identifier
1699287383
Registry record updated Nov 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
ND934 Issued in CA
Practice address
4125 Sorrento Valley Blvd Ste a
San Diego, CA 92121-1423
Phone
(858) 531-5279
NPI assigned
Nov 2, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X ND934 CA Primary

Addresses

Primary practice location

4125 Sorrento Valley Blvd Ste a
San Diego, CA 92121-1423

Mailing address

4125 Sorrento Valley Blvd Ste a
San Diego, CA 92121-1423
Phone (858) 531-5279

Other names 1

  • Dr. Elly Michelle Professional 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

State licenses

LicenseStateTypeSpecialty
ND934CAMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1509580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509580800000",
    "number": "1699287383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4125 SORRENTO VALLEY BLVD STE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211423",
            "telephone_number": "858-531-5279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4125 SORRENTO VALLEY BLVD STE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211423",
            "telephone_number": "858-531-5279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEPPMAN",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "ND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-02",
        "last_updated": "2017-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "CA",
            "license": "ND934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLY",
            "last_name": "MICHELLE",
            "prefix": "DR.",
            "credential": "ND",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2017; 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.