Lisa Renee Bassett-Ippolito, DC, APRN FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11027579 Issued in FL

Practice address

920 W Indiantown Rd
Suite 107
Jupiter, FL 33458-6847

Phone

(561) 747-7707

Fax

(561) 748-5502

NPI assigned

Jan 9, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Integrated Medical Center of Palm Beach

  • Orthopaedic Surgery Physician
  • Jupiter, FL
  • NPI 1396178273
  NPD Authorized official
• Integrated Medical Center of Jupiter, PA

  • Chiropractor
  • Jupiter, FL
  • NPI 1881603645
  NPD (past)

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1881879815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 W INDIANTOWN RD",
            "address_2": "SUITE 107",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334586847",
            "telephone_number": "561-747-7707",
            "fax_number": "561-748-5502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 W INDIANTOWN RD",
            "address_2": "SUITE 107",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334586847",
            "telephone_number": "561-747-7707",
            "fax_number": "561-748-5502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASSETT-IPPOLITO",
        "first_name": "LISA",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "DC, APRN FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-09",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9440",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11027579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce D Barton, M.D.
• Daniel John Bartus Jr., D.M.D.
• Melitta Basa
• Lauren Basehart, SLPA
• Bassam Sayegh MD PA
• Kristina D Bate, OTR/L
• Megan Cathleen Bates, PA-C
• G Clay Baynham, M.D.
• Beach Zen Wellness
• Nicole Wesley Beauchamp, LMHC

• Family Nurse Practitioner in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; 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.