Active NPI
Jennifer F Flippo, RN, CPNP
- Pediatric Nurse Practitioner
- Fort Worth, TX
National Provider Identifier
1851425367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 600879
- Practice address
- 6618 Fossil Bluff Dr
Suite 116
Fort Worth, TX 76137-7533 - Phone
- (817) 847-6420
- Fax
- (817) 847-6412
- NPI assigned
- Mar 15, 2007
- Last updated
- Aug 11, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 600879 | TX | Primary |
Addresses
Primary practice location
6618 Fossil Bluff Dr
Suite 116
Fort Worth, TX 76137-7533
Mailing address
6618 Fossil Bluff Dr
Suite 116
Fort Worth, TX 76137-7533
Phone (817) 847-6420
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
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 600879 | TX | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Omar a. Gomez, M.D.,P.a. | Past | Accepting new patients | |
| Samuel H. Davis MD PA | Past | Accepting new patients | |
| Acs Primary Care Physicians Southwest, PA | Pediatrics | Past | Accepting new patients |
| Texas Health Care, P.L.L.C. | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Gainesville, TX
- NPI 1538101019
Pediatrics
-
- Family Medicine Physician
- Fort Worth, TX
- NPI 1821026352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313020800000",
"number": "1851425367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6618 FOSSIL BLUFF DR",
"address_2": "SUITE 116",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761377533",
"telephone_number": "817-847-6420",
"fax_number": "817-847-6412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6618 FOSSIL BLUFF DR",
"address_2": "SUITE 116",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761377533",
"telephone_number": "817-847-6420",
"fax_number": "817-847-6412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLIPPO",
"first_name": "JENNIFER",
"middle_name": "F",
"credential": "RN, CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-15",
"last_updated": "2011-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TX",
"license": "600879",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.