Active NPI
Christina Lipuma, RDN, LDN
- Registered Dietitian
- Philadelphia, PA
National Provider Identifier
1912419581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 4364
- Practice address
- 5210 Haverford Ave
Philadelphia, PA 19139 - Phone
- (609) 802-3826
- NPI assigned
- Nov 3, 2017
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 4364 | MA | Primary |
Addresses
Primary practice location
5210 Haverford Ave
Philadelphia, PA 19139
Mailing address
62 Cartwright Dr
West Windsor, NJ 08550-1933
Phone (609) 802-3826
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4364 | MA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509667200000",
"number": "1912419581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "62 CARTWRIGHT DR",
"city": "WEST WINDSOR",
"state": "NJ",
"postal_code": "085501933",
"telephone_number": "609-802-3826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5210 HAVERFORD AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19139",
"telephone_number": "609-802-3826"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIPUMA",
"first_name": "CHRISTINA",
"name_prefix": "Ms.",
"credential": "RDN, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-03",
"last_updated": "2017-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "4364",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.