Active NPI
Mindee J Flippin MD PA
- Specialist
- Lubbock, TX
National Provider Identifier
1831118702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- J7779
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 790090801 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
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.