MS. JODI LYNN TIPPETT (NPI# 1083797302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083797302 |
| Entity Type | Individual |
| Full Name | MS. JODI LYNN TIPPETT |
| Credential | APRN BC |
| Practice Address |
169 Elm St Waltham MA 02453-5356 |
| Practice Telephone | 7818948440 |
| Practice Fax Number | 7818941202 |
| Mailing Telephone | 7818948440 |
| Mailing Fax Number | 7818941202 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
237497 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | MBHP | 1303287 | 01 |
| MA | BCBS | M18633 | 01 |
| MA | 1303287 | 05 |
| Street Address |
169 ELM ST |
| City | WALTHAM |
| State | MA |
| Zip Code | 02453-5356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770068314 | Brianne Aileen Lydon | Social Worker | 169 Elm St, Waltham, MA 02453-5356 | 2018-09-29 |
| 1851565410 | Charlene A. Budrius I | Clinical Nurse Specialist | 169 Elm St, Waltham, MA 02453-5356 | 2008-04-15 |
| 1932380946 | Nadine Kraman | Counselor | 169 Elm St, Waltham, MA 02453-5356 | 2007-11-19 |
| 1114065794 | Maxine Sushelsky | Counselor | 169 Elm St, Waltham, MA 02453-5356 | 2007-02-03 |
| 1043393374 | Carol Slade | Social Worker | 169 Elm St, Waltham, MA 02453-5356 | 2006-10-23 |
| 1245313568 | Debra Lynn Spitz | Social Worker | 169 Elm St, Waltham, MA 02453-5356 | 2006-10-23 |
| 1144303462 | Krystal Rheinwald | Social Worker | 169 Elm St, Waltham, MA 02453-5356 | 2006-10-23 |
| 1205919552 | Arnold Zane Horowitz | Social Worker | 169 Elm St, Waltham, MA 02453-5356 | 2006-10-23 |
| 1932282266 | Miriam Claire Goodman | Psychiatry & Neurology | 169 Elm St, Waltham, MA 02453-5356 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811595770 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 66 Seyon St, Waltham, MA 02453 | 2020-10-13 |
| 1679040935 | Elsa L. Lichman | Social Worker | 52 Derby Street, Waltham, MA 02453 | 2018-10-25 |
| 1760957468 | Sherry Leigh Miller | Counselor | C/o Children's Charter, 77 Rumford Ave, Waltham, MA 02453 | 2018-10-09 |
| 1639644651 | Leo V Sarkissian | Social Worker | The Arc of Massachusetts, 217 South Street, Waltham, MA 02453 | 2018-10-05 |
| 1629569512 | Abaytum Investments Inc | Home Health | 24 Crescent Street, Suite 104, Waltham, MA 02453 | 2018-05-25 |
| 1225542970 | Mikayla E Culpo | Nurse Practitioner | 9 Hope Ave Fl Bch4, Waltham, MA 02453 | 2017-11-16 |
| 1568975449 | Twyla Atherna Everett | Massage Therapist | 212 Calvary St, Waltham, MA 02453 | 2017-11-14 |
| 1407369382 | Eli Miller | Counselor | 431 River Street, Suite 1, Waltham, MA 02453 | 2017-11-14 |
| 1396263927 | Jill Zaricor | Student in an Organized Health Care Education/Training Program | 77 Rumford Ave C/o Children's Charter, Waltham, MA 02453 | 2017-09-04 |
| 1538683008 | Michael Scaduto | Physical Therapist | 110-1 Clematis Ave, Waltham, MA 02453 | 2017-07-27 |
| Find all providers in zip 02453 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245683051 | Sarah Silva | Nurse Practitioner | 9 Hope Ave, Suite 500, Waltham, MA 02453-2741 | 2016-07-16 |
| 1366554149 | Kathleen Rose Davidson | Nurse Practitioner | 20 Hope Ave, Suite G05, Waltham, MA 02453-2721 | 2006-08-31 |
| 1669439337 | Louisa Eileen Martin | Nurse Practitioner | 210 Bear Hill Rd, Suite 202, Waltham, MA 02451-1023 | 2006-04-27 |
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| 1144829177 | Amiee N Caruso | Nurse Practitioner | 26 Queen St Ste 4, Worcester, MA 01610-2473 | 2020-10-21 |
| 1629676234 | Sandpiper Wellness, LLC | Nurse Practitioner | 345 Union St Unit 5, New Bedford, MA 02740-3679 | 2020-10-15 |
| 1912505777 | Samantha Deglaoui | Nurse Practitioner | 1 Clarks Hl Ste 302, Framingham, MA 01702-8172 | 2020-10-14 |
| 1699372235 | Square Behavioral Health, LLC | Nurse Practitioner | 733 Turnpike St # 162, North Andover, MA 01845-6137 | 2020-10-06 |
| 1184221046 | Abdonne Ngo Nyele Mbouadeu | Nurse Practitioner | 34 Tannery Rd, Sturbridge, MA 01518-1171 | 2020-10-05 |
| 1013524164 | Atlee Quarrier | Nurse Practitioner | 29 Birch Meadow Rd, Merrimac, MA 01860-1826 | 2020-09-23 |
| 1669086997 | Unique Psych Services LLC | Nurse Practitioner | 10 Mazzeo Dr Ste 201f, Randolph, MA 02368-3433 | 2020-09-03 |
| 1457961138 | Savina Nicole Setze | Nurse Practitioner | 15 N Beacon St Apt 914, Allston, MA 02134-1941 | 2020-08-06 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.