Individual provider Active NPI

Mindee J Flippin, M.D.

  • Specialist
  • Lubbock, TX
National Provider Identifier
1700826385
Registry record updated Apr 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
J7779 Issued in TX
Practice address
3805 22ND St
Suite 2a
Lubbock, TX 79410-1142
Phone
(806) 771-4327
Fax
(806) 577-4148
NPI assigned
Jun 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X J7779 TX Primary

Addresses

Primary practice location

3805 22ND St
Suite 2a
Lubbock, TX 79410-1142

Mailing address

3805 22ND St
Suite 2a
Lubbock, TX 79410-1142
Phone (806) 771-4327

Other identifiers 1

IdentifierTypeStateIssuer
170090801MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041025000050 TX Practitioner - Pediatric MedicinePractitioner - Cardiovascular Disease (Cardiology) 0345201422 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
J7779TXMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Group Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mindee.flippin@direct.myteamcare.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398729600000",
    "number": "1700826385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 22ND ST",
            "address_2": "SUITE 2A",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101142",
            "telephone_number": "806-771-4327",
            "fax_number": "806-577-4148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 22ND ST",
            "address_2": "SUITE 2A",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101142",
            "telephone_number": "806-771-4327",
            "fax_number": "806-577-4148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLIPPIN",
        "first_name": "MINDEE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2014-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "J7779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170090801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.