Individual provider Active NPI

Lisa Theresa Lippincott, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Oxford, MS
National Provider Identifier
1750416905
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R679054 Issued in MS
Practice address
202 Enterprise Dr
Oxford, MS 38655-2761
Phone
(662) 371-1711
Fax
(662) 371-1342
NPI assigned
Feb 21, 2007
Last updated
Jul 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN18181 TN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R679054 MS Primary

Addresses

Primary practice location

202 Enterprise Dr
Oxford, MS 38655-2761

Mailing address

202 Enterprise Dr
Oxford, MS 38655-2761
Phone (662) 371-1711

Other identifiers 1

IdentifierTypeStateIssuer
02974702MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090902000165 MS Practitioner - Nurse Practitioner 5799830402 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

210 E Main St
Suite D
Tupelo, MS 38804-4017
Phone (662) 205-6705

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R679054MSMDPsychiatric/Mental Health Nurse Practitioner
APN18181TNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ken Lippincott, M.D., P.a. CurrentSince Jun 1, 2009 Accepting new patients
Lisa Lippincott Apmhnp-BC PLLC Psychiatric/Mental Health CurrentSince Apr 1, 2016 Accepting new patients
North Mississippi Medcial Center, Inc. Past Accepting new patients

Locations

210 E Main St
Ste 2B
Tupelo, MS 38804
Phone (662) 255-0467

210 E Main St
Ste D
Tupelo, MS 38804
Phone (662) 205-6705

4428 S Eason Blvd
Ste A
Tupelo, MS 38801
Phone (662) 844-3739

Organizations & group practices 3

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": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1750416905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 ENTERPRISE DR",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386552761",
            "telephone_number": "662-371-1711",
            "fax_number": "662-371-1342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 ENTERPRISE DR",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386552761",
            "telephone_number": "662-371-1711",
            "fax_number": "662-371-1342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPPINCOTT",
        "first_name": "LISA",
        "middle_name": "THERESA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "APN18181",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "R679054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02974702",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MS

Sources for this page

Verify at the official NPI Registry.