JOHANNA C LIPPERT


Address: 10220 N 31st Ave, Phoenix, AZ 85051-9562
Phone: 6029972233

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
AZ 846363 05

Office Location

Street Address 10220 N 31ST AVE
City PHOENIX
State AZ
Zip Code 85051-9562

Providers in the same location

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

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1518459080 Addie Robin Diroberts Counselor 10240 W. 31st Ave, Phoenix, AZ 85051 2018-05-31
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1588019145 Vanessa Eloise Hernandez Counselor 10000 N. 31st Ave., Applied Behavioral Interventions, Pllc, Phoenix, AZ 85051 2016-05-02
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City PHOENIX
Zip Code 85051

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Dataset Information

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.

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