THERESA M LIPE (NPI# 1518315480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518315480 |
| Entity Type | Individual |
| Full Name | THERESA M LIPE |
| Credential | APRN, FNP-C |
| Practice Address |
212 Hospital Ln Suite 101 Perryville MO 63775-1224 |
| Practice Telephone | 5735477888 |
| Practice Fax Number | 5735475481 |
| Mailing Telephone | 5735477888 |
| Mailing Fax Number | 5735475481 |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2016-06-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2016017425 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316240500 | Theresa Marie Lipe | Nurse Practitioner | 6631 Hwy Ac, Sullivan, MO 63080-3508 | 2010-12-10 |
| Street Address |
212 HOSPITAL LN SUITE 101 |
| City | PERRYVILLE |
| State | MO |
| Zip Code | 63775-1224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487655619 | Darryl A Green | Family Medicine | 212 Hospital Ln, Suite 101, Perryville, MO 63775-1276 | 2005-08-10 |
| 1821438508 | Shannon Elizabeth Bulla | Pharmacist | 212 Hospital Ln, Perryville, MO 63775-1224 | 2013-06-26 |
| 1306100078 | Michelle R. Perez | Social Worker | 212 Hospital Ln, Suite 101, Perryville, MO 63775-1276 | 2012-06-27 |
| 1740427889 | Perry County Health System | Surgery | 212 Hospital Ln, Suite 202, Perryville, MO 63775-1276 | 2009-01-12 |
| 1447416292 | Marlon Cajilig Torrento | Internal Medicine | 212 Hospital Ln, Suite 200, Perryville, MO 63775-1276 | 2008-07-31 |
| 1114121514 | Joseph W. Sharlow M.d. PC | Surgery | 212 Hospital Ln, Suite 202, Perryville, MO 63775-1276 | 2007-06-12 |
| 1629148135 | David M Steele | Surgery | 212 Hospital Ln, Suite 202, Perryville, MO 63775-1276 | 2006-11-09 |
| 1467557488 | Perry County Health System | Clinic/Center | 212 Hospital Ln, Suite 101, Perryville, MO 63775-1276 | 2006-09-14 |
| 1760454888 | Meredith Gruenwald | Nurse Practitioner | 212 Hospital Ln, Suite 205, Perryville, MO 63775-1276 | 2006-02-02 |
| 1619951704 | Granville J Phillips | Obstetrics & Gynecology | 212 Hospital Ln, Suite 205, Perryville, MO 63775-1276 | 2005-12-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144949 | New Life Mission Inn - Missouri | Clinic/Center | 114 W. South, Perryville, MO 63775 | 2020-11-02 |
| 1881211829 | Sarah Jo Cross | Social Worker | 406 S Spring St, Ste 2, Perryville, MO 63775 | 2020-06-25 |
| 1902461908 | Health Care Pharmacy of Perryville, LLC | Pharmacy | 628 N Old St Marys Rd, Perryville, MO 63775 | 2019-05-06 |
| 1710437603 | Danielle Renee Hoeckele | Chiropractor | 1516 Edgemont Blvd Ste 100, Perryville, MO 63775 | 2016-10-04 |
| 1487024956 | Sherry Ann Goshen | Social Worker | 12 N Kings Hwy, Perryville, MO 63775 | 2015-09-28 |
| 1669801353 | Derek Adelman | Physical Therapy Assistant | 206 Hospital Lane, Ste 100, Perryville, MO 63775 | 2013-11-04 |
| 1407158678 | Perry County Memorial Hospital | Ambulance | 434 N West Street, Perryville, MO 63775 | 2010-11-22 |
| 1699928358 | East Missouri Action Agency, Inc. | Clinic/Center | 519 Old St Mary's Rd, Perryville, MO 63775 | 2008-10-28 |
| 1013171115 | Air Evac Ems Inc. | Ambulance | 4801 N Highway 51, Perryville, MO 63775 | 2008-07-17 |
| 1245457241 | Robert Schremp | Physical Therapist | 150 S. Mount Auburn Road, Cape Girardeau, MO 63775 | 2007-04-19 |
| Find all providers in zip 63775 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750931697 | Rachel Dibooglu | Nurse Practitioner | 1400 Old Saint Marys Rd, Perryville, MO 63775-1244 | 2019-09-12 |
| 1417456989 | Dionne H Wallace | Nurse Practitioner | 1016 N Fourche Ave, Perryville, AR 72126-8545 | 2018-02-09 |
| 1528435732 | Stanley Prochaska Jr. | Nurse Practitioner | 1 Avenue D, Perryville, MD 21902 | 2015-08-24 |
| 1699930834 | Leticia M. Kelley | Nurse Practitioner | 212 Hospital Ln Ste 101, Perryville, MO 63775-4204 | 2008-07-28 |
| 1891726782 | Kathleen M. Arnzen | Nurse Practitioner | 624 Old Saint Marys Rd, Suite A, Perryville, MO 63775-1837 | 2006-07-06 |
| 1124642764 | Brooke Elizabeth Hotop | Nurse Practitioner | 212 Hospital Ln Ste 101, Perryville, MO 63775-4204 | 2020-05-29 |
| 1598316564 | Angela Kay Wright | Nurse Practitioner | 1314 Brenda Ave, Perryville, MO 63775-2303 | 2019-09-21 |
| 1477105427 | Jennifer Diane Roth | Nurse Practitioner | 624 Old Saint Marys Rd, Perryville, MO 63775-1837 | 2019-07-10 |
| 1336640127 | Megan Andres | Nurse Practitioner | 1016 North Fourche Avenue, Perryville, AR 72126-7257 | 2018-02-27 |
| 1417456443 | Rainie Jones | Nurse Practitioner | 518 N Fourche Ave, Perryville, AR 72126-9701 | 2018-02-05 |
| Find all providers in PERRYVILLE | ||||
| City | PERRYVILLE |
| Zip Code | 63775 |
Please comment or provide details below to improve the information on THERESA M LIPE.
| 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.