JOHANNA C LIPPERT (NPI# 1093893927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093893927 |
Entity Type | Individual |
Full Name | JOHANNA C LIPPERT |
Credential | N.P. |
Practice Address |
10220 N 31st Ave Phoenix AZ 85051-9562 |
Mailing Address |
3450 N 3rd St Phoenix AZ 85012-2331 |
Practice Telephone | 6029972233 |
Practice Fax Number | 6029972667 |
Mailing Telephone | 6022658338 |
Mailing Fax Number | 6022658574 |
Enumeration Date | 2006-11-01 |
Last Update Date | 2012-02-16 |
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 |
RN062405 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 846363 | 05 |
Street Address |
10220 N 31ST AVE |
City | PHOENIX |
State | AZ |
Zip Code | 85051-9562 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407845233 | Thomas William Callahan | Social Worker | 10220 N 31st Ave, Suite 205, Phoenix, AZ 85051-9581 | 2005-10-14 |
1699122127 | Deborah Ross Cary | Social Worker | 10220 N 31st Ave, #120, Phoenix, AZ 85051-9581 | 2016-05-13 |
1962828681 | Daniel Halter | Nurse Practitioner | 10220 N 31st Ave, Phoenix, AZ 85051-9581 | 2014-03-06 |
1184924904 | Arash Zamanian | Specialist | 10220 N 31st Ave, Suite #101, Phoenix, AZ 85051-9581 | 2010-10-26 |
1922143833 | Kimberly Dawn Nielsen | Social Worker | 10220 N 31st Ave, #101, Phoenix, AZ 85051 | 2007-02-20 |
1225043755 | Southwest Behavioral Health Services | Clinic/Center | 10220 N 31st Ave, Phoenix, AZ 85051-9581 | 2006-07-31 |
1205897121 | Patricia L. Bradley-bates | Counselor | 10220 N 31st Ave, Suite 205, Phoenix, AZ 85051-9581 | 2006-03-30 |
1649250986 | Cynthia Kay Tobin | Nurse Practitioner | 10220 N 31st Ave, #101, Phoenix, AZ 85051 | 2006-01-20 |
1558352310 | Heidi H Howard | Social Worker | 10220 N 31st Ave, #205, Phoenix, AZ 85051-9581 | 2005-11-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184250383 | Jhajaira Elizabeth Cadenas | Optometrist | 3937 W Northview Ave, Phoenix, AZ 85051 | 2020-03-19 |
1083270854 | Vision With Wings | Voluntary or Charitable | 9617 N. Metro Pkwy West, Ste. 1214, Phoeniz, AZ 85051 | 2019-05-16 |
1417510405 | Applied Behavioral Interventions Pllc | Dietitian, Registered | 10000 N. 31st Avenue Ste. A107, Phoenix, AZ 85051 | 2019-04-16 |
1558832683 | Liberty Home LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 9649 N 36th Ave, Phoenix, AZ 85051 | 2018-12-16 |
1518459080 | Addie Robin Diroberts | Counselor | 10240 W. 31st Ave, Phoenix, AZ 85051 | 2018-05-31 |
1093239816 | Jason Allan Parker | Licensed Practical Nurse | 3310 West Cheryl Drive, Phoenix, AZ 85051 | 2017-08-02 |
1588019145 | Vanessa Eloise Hernandez | Counselor | 10000 N. 31st Ave., Applied Behavioral Interventions, Pllc, Phoenix, AZ 85051 | 2016-05-02 |
1912230178 | Mozelle Barr Martin | Counselor | 3734 W. Vista Ave., Phoenix, AZ 85051 | 2009-09-04 |
1316184542 | Tom Sowash Od & Associates PC | Optometrist | 9617 North Parkway West, #1160, Phoenix, AZ 85051 | 2009-01-09 |
1609026913 | Luma Z Sayegh | Dentist | 7012 N 35th Ave, Suite 1, Phoenix, AZ 85051 | 2008-09-23 |
Find all providers in zip 85051 |
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 |
---|---|---|---|---|
1215536479 | Yolanda D Baugh | Nurse Practitioner | 2625 W Piedmont Rd, Phoenix, AZ 85041-9540 | 2020-10-20 |
1306450960 | Williamsconsultant Com LLC | Nurse Practitioner | 2303 N 44th St Ste 12-1043, Phoenix, AZ 85008-2442 | 2020-09-01 |
1912515305 | Victory Health Solution LLC | Nurse Practitioner | 9132 W Hubbell St, Phoenix, AZ 85037-4377 | 2020-07-21 |
1700494374 | Vanessa Moe | Nurse Practitioner | 42949 N Voyage Trl, Phoenix, AZ 85086-8040 | 2020-07-20 |
1043838527 | Latasha Lynne Freeman | Nurse Practitioner | 1919 E Thomas Rd Bldg 5th, Phoenix, AZ 85016-7710 | 2020-07-10 |
1861019416 | Gayle Cecilia Bachelier | Nurse Practitioner | 2302 N Central Ave Unit 303, Phoenix, AZ 85004-1373 | 2020-06-30 |
1871119156 | Ashlyn Tellers | Nurse Practitioner | 21438 N 33rd Ave, Phoenix, AZ 85027-2241 | 2020-06-22 |
1770109605 | Hannah Carita Jurekovic-byrd | Nurse Practitioner | 5727 N 7th St Ste 308, Phoenix, AZ 85014-5817 | 2020-06-16 |
1578188025 | Joseph Medlin | Nurse Practitioner | 915 N 52nd St Apt 2010, Phoenix, AZ 85008-7934 | 2020-06-10 |
1750901088 | Foothills Psychiatric Services Pllc | Nurse Practitioner | 3546 E Windmere Dr, Phoenix, AZ 85048-7211 | 2020-04-16 |
Find all providers in PHOENIX |
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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.