MRS. MARY CHRISTY LIPSCOMB (NPI# 1790127090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790127090 |
| Entity Type | Individual |
| Full Name | MRS. MARY CHRISTY LIPSCOMB |
| Credential | AG-ACNP-BC |
| Practice Address |
1508 Tombras Ave East Ridge TN 37412-2720 |
| Practice Telephone | 4238674969 |
| Practice Fax Number | 4238674971 |
| Mailing Telephone | 4238674969 |
| Mailing Fax Number | 4238674971 |
| Enumeration Date | 2013-07-27 |
| Last Update Date | 2016-01-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
17817 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
17817 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
17817 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q014366 | 05 | |
| TN | BCBS OF TENNESSEE | 6050407 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730196791 | Mary Lipscomb | Pathology | 337 Basic Medical Sciences, 915 Camino De Salud, Albuquerque, NM 87131-0001 | 2006-08-02 |
| Street Address |
1508 TOMBRAS AVE |
| City | EAST RIDGE |
| State | TN |
| Zip Code | 37412-2720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295701795 | Diana Novakovic Kessler | Emergency Medicine | 1508 Tombras Ave, East Ridge, TN 37412-2720 | 2006-02-24 |
| 1528560414 | Rebecca Dykes Henderson | Nurse Practitioner | 1508 Tombras Ave, East Ridge, TN 37412-2720 | 2018-03-06 |
| 1821590993 | Wendy Kay Dodd | Nurse Practitioner | 1508 Tombras Ave, East Ridge, TN 37412-2720 | 2018-03-05 |
| 1033618228 | Hannah Chong | Nurse Practitioner | 1508 Tombras Ave, East Ridge, TN 37412-2720 | 2018-02-02 |
| 1225498090 | Amy Dawn Latham | Nurse Practitioner | 1508 Tombras Ave, East Ridge, TN 37412-2720 | 2016-03-07 |
| 1114397304 | Minna Rena Deluca | Nurse Practitioner | 1508 Tombras Ave, East Ridge, TN 37412-2720 | 2015-09-30 |
| 1134599715 | Amin Sohani | Nurse Practitioner | 1508 Tombras Ave, East Ridge, TN 37412-2720 | 2015-09-25 |
| 1265818983 | Jateum Mauree Blackburn | Nurse Practitioner | 1508 Tombras Ave, East Ridge, TN 37412-2720 | 2015-08-04 |
| 1710361480 | Rhonda Lynn Renfro | Nurse Practitioner | 1508 Tombras Ave, East Ridge, TN 37412-2720 | 2015-07-13 |
| 1790179984 | Natalie Kathryn Mcqueen | Physician Assistant | 1508 Tombras Ave, East Ridge, TN 37412-2720 | 2015-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316482458 | East Ridge Snf Operations, LLC | Skilled Nursing Facility | 1502 Mcdonald Rd., East Ridge, TN 37412 | 2016-12-28 |
| 1487080149 | Puckett Med Van LLC | Non-emergency Medical Transport (VAN) | 5603 Ringgold Road, East Ridge, TN 37412 | 2013-09-25 |
| 1538420229 | Nathan Hartgrove | Internal Medicine | 961 Spring Creek Rd Ste 300, Chattanooga, TN 37412 | 2012-05-30 |
| 1770869042 | Jonathan Bailey Barnett I | Pharmacist | 5301 Ringold Rd, East Ridge, TN 37412 | 2011-10-31 |
| 1932482791 | Ronald P Leonard | Pharmacist | 7354 East Brainerd Rd, Chattanooga, TN 37412 | 2011-09-27 |
| 1164758561 | Zoilus, Inc | Home Health | 912 Belvoir Hills Circle, Chattanooga, TN 37412 | 2009-10-20 |
| 1093935157 | Alan L Crisman | Dentist | 1421 Armour Street, Chattanooga, TN 37412 | 2007-04-30 |
| 1700949989 | Keith Brian Sparkman | Optometrist | 1013 Spring Creek Rd, Chattanooga, TN 37412 | 2006-12-18 |
| 1174617161 | Shahul H Majeed | Obstetrics & Gynecology | 1012 Spring Creek Road, Chattanooga, TN 37412 | 2006-10-03 |
| 1356434070 | Mckinley Snipes Lundy Sr. | Preventive Medicine | 931 Spring Creek Road, Suite 200, Chattanooga, TN 37412 | 2006-10-02 |
| Find all providers in zip 37412 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548191 | Anne Nicole Koethe | Nurse Practitioner | Saint Thomas Medical Group, 4230 Harding Pike #503, Nashville, TN 37205 | 2020-11-06 |
| 1063034429 | Jared Garrison | Nurse Practitioner | 700 Harbor Edge Dr Apt 102, Memphis, TN 38103-5840 | 2020-05-08 |
| 1548893472 | Caroline Kelly Pigford | Nurse Practitioner | 5737 Sarah Dr, Ooltewah, TN 37363-6465 | 2020-02-19 |
| 1447883343 | Jennifer Leigh Slater | Nurse Practitioner | 109 Williamsburg Blvd, Tullahoma, TN 37388-5412 | 2020-02-19 |
| 1811529118 | Michelle Filomena Grise | Nurse Practitioner | 1466 Tiny Town Rd, Clarksville, TN 37042-8291 | 2020-02-05 |
| 1902445935 | Brad Harrell, Dnp LLC | Nurse Practitioner | 233 Lackey Ln, Ripley, TN 38063-1619 | 2019-12-20 |
| 1861039612 | Teresa Hea Brown | Nurse Practitioner | 180 Melodie Cir, Henderson, TN 38340-3628 | 2019-11-27 |
| 1962044883 | Seph Kestner | Nurse Practitioner | 1215 21st Ave S Fl Mce5, Nashville, TN 37232-0014 | 2019-10-11 |
| 1003457409 | Leven Ward | Nurse Practitioner | 250 Hartfield Dr, Medina, TN 38355-8941 | 2019-10-07 |
| 1619527124 | Amelia Hoyt Laws | Nurse Practitioner | Vanderbilt University Medical Center 1211, Nashville, TN 37232-0001 | 2019-09-17 |
| Find all providers with the same taxonomy | ||||
| City | EAST RIDGE |
| Zip Code | 37412 |
Please comment or provide details below to improve the information on MRS. MARY CHRISTY LIPSCOMB.
| 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.