Organization Active NPI

Mindee J Flippin MD PA

  • Specialist
  • Lubbock, TX
National Provider Identifier
1831118702
Registry record updated Jan 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
J7779 Issued in TX
Legal business name
MINDEE J FLIPPIN MD PA
Practice address
3805 22ND St
Ste. 2a
Lubbock, TX 79410-1142
Phone
(806) 771-4327
Fax
(806) 577-4148
NPI assigned
Jul 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2013

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

Authorized official

Name
Laura Butcher
Title
Credentialing Coordinator
Phone
(806) 761-0333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X J7779 TX Primary

Addresses

Primary practice location

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

Mailing address

3805 22ND St
Ste. 2a
Lubbock, TX 79410-1142
Phone (806) 761-0333

Other identifiers 1

IdentifierTypeStateIssuer
790090801MedicaidTX

National Provider Directory

National Provider Directory

Locations

3805 22nd St
#2A
Lubbock, TX 79410
Phone (806) 771-4327

3805 22nd St
Ste 2A
Lubbock, TX 79410
Phone (806) 749-6133

4511 University Ave
Ste A
Lubbock, TX 79413
Phone (806) 771-4327

3706 20th St
Ste B
Lubbock, TX 79410
Phone (806) 771-4327

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359417600000",
    "number": "1831118702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 22ND ST",
            "address_2": "STE. 2A",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101142",
            "telephone_number": "806-761-0333",
            "fax_number": "806-722-2908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 22ND ST",
            "address_2": "STE. 2A",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101142",
            "telephone_number": "806-771-4327",
            "fax_number": "806-577-4148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDEE J FLIPPIN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2013-01-29",
        "status": "A",
        "authorized_official_last_name": "BUTCHER",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "806-761-0333"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "J7779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "790090801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; 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.