Anna Ipsen, B.S.

Primary specialty

NutritionistTaxonomy code 133N00000X

License

526008517 Issued in NY

Practice address

38 Hollandale LN Apt B
Clifton Park, NY 12065-5232

Phone

(518) 487-1524

NPI assigned

Jul 29, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Nourish, Inc.Group PAC ID 1557724937, 288 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Science

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.

• Nourish, Inc.

  • Registered Dietitian
  • Austin, TX
  • NPI 1558097824
  Medicare reassignment Care Compare group NPD
• Klasik Nutrition

  • Registered Dietitian
  • Abington, PA
  • NPI 1578229589
  NPD

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

{
    "created_epoch": "1406592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460505600000",
    "number": "1962810309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 HOLLANDALE LN APT B",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120655232",
            "telephone_number": "518-487-1524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 HOLLANDALE LN APT B",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120655232",
            "telephone_number": "518-487-1524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IPSEN",
        "first_name": "ANNA",
        "credential": "B.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-29",
        "last_updated": "2016-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NY",
            "license": "526008517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maybelle Hwang, DMD
• Laura Hyde, M.S.ED, CCC-SLP
• Matthew Hyde, D.D.S.
• Integrative Physical Therapy Wellness, PLLC
• Integrative Physical Therapy, PLLC
• Rachael Ishman
• Gary A. Iuliano, DDS
• Alexandra Ivy, MHC-LP
• Suzanne Izzo, COTA
• Carly L Jabonaski, MS CCC SLP

• Nutritionist in Clifton Park, NY
• Providers in Clifton Park, NY by specialty
• Nutritionist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.