Active NPI
Jennifer Chipps Austin, ANP
- Adult Health Nurse Practitioner
- Lincoln, NE
National Provider Identifier
1861638504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 111962
- Practice address
- 4004 Pioneer Woods Dr
Lincoln, NE 68506-7548 - Phone
- (402) 484-4900
- Fax
- (402) 484-6456
- NPI assigned
- Dec 31, 2008
- Last updated
- Feb 25, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | RN187723 | GA | |
| Adult Health Nurse Practitioner | 363LA2200X | 111962 | NE | Primary |
Addresses
Primary practice location
4004 Pioneer Woods Dr
Lincoln, NE 68506-7548
Mailing address
4004 Pioneer Woods Dr
Lincoln, NE 68506-7548
Phone (402) 484-4900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861638504 | Other | GA | NPI |
Other names 1
- Ms. Jennifer L Chipps
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1230681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614211200000",
"number": "1861638504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4004 PIONEER WOODS DR",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685067548",
"telephone_number": "402-484-4900",
"fax_number": "402-484-6456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4004 PIONEER WOODS DR",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685067548",
"telephone_number": "402-484-4900",
"fax_number": "402-484-6456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUSTIN",
"first_name": "JENNIFER",
"middle_name": "CHIPPS",
"name_prefix": "Mrs.",
"credential": "ANP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-31",
"last_updated": "2021-02-25",
"certification_date": "2021-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "GA",
"license": "RN187723",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NE",
"license": "111962",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1861638504",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "CHIPPS",
"middle_name": "L",
"prefix": "MS.",
"credential": "ANP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.