Individual provider Active NPI

Alicia C Lippard, FNP-C

  • Family Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1881231074
Registry record updated Dec 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000025858 Issued in TN
Practice address
2341 McCallie Ave Ste 200
Chattanooga, TN 37404-3241
Phone
(423) 629-4106
NPI assigned
Dec 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN0000025858 TN Primary

Addresses

Primary practice location

2341 McCallie Ave Ste 200
Chattanooga, TN 37404-3241

Mailing address

11042 E Brainerd Rd
Apison, TN 37302
Phone (423) 595-5253

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20201104000240 TN Practitioner - Nurse Practitioner 7113337072 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
East Tennessee State University Quillen College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1009 N Locust Ave
Lawrenceburg, TN 38464-2746
Phone (571) 982-6636

55 Mouse Creek Rd NW
Cleveland, TN 37312-4840
Phone (423) 813-7333

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN0000025858TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group Tennessee LLC CurrentSince Feb 1, 2023 Accepting new patients
Privia Medical Group Tennessee LLC CurrentSince Feb 1, 2023 Accepting new patients

Locations

55 Mouse Creek Rd NW
Cleveland, TN 37312
Phone (423) 478-8989

1009 N Locust Ave
Lawrenceburg, TN 38464
Phone (931) 244-7181

9298 Apison Pike
Ste 100
Ooltewah, TN 37363
Phone (423) 813-7333

Interoperability endpoints

  • Direct secure messaging: alicia.lippard.1@25094.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1575590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575590400000",
    "number": "1881231074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11042 E BRAINERD RD",
            "city": "APISON",
            "state": "TN",
            "postal_code": "37302",
            "telephone_number": "423-595-5253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2341 MCCALLIE AVE STE 200",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374043241",
            "telephone_number": "423-629-4106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPPARD",
        "first_name": "ALICIA",
        "middle_name": "C",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-06",
        "last_updated": "2019-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000025858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.