MANDY LYNN TIPTON (NPI# 1811476187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811476187 |
| Entity Type | Individual |
| Full Name | MANDY LYNN TIPTON |
| Credential | PLPC |
| Practice Address |
1108 E Patterson St Ste 5 Kirksville MO 63501-4002 |
| Mailing Address |
60377 Orion Rd Green City MO 63545-2229 |
| Practice Telephone | 6609512197 |
| Practice Fax Number | 4179441440 |
| Mailing Telephone | 6602920246 |
| Mailing Fax Number | 4179441440 |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2018-08-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
2018020715 | MO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760740252 | Mandy Lynne Tipton | Physician Assistant | 7651 Lake Raystown Shopping Ctr, Huntingdon, PA 16652-8403 | 2012-05-02 |
| Street Address |
1108 E PATTERSON ST STE 5 |
| City | KIRKSVILLE |
| State | MO |
| Zip Code | 63501-4002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477026524 | Impact Counseling | Counselor | 1108 E Patterson St Ste 5, Kirksville, MO 63501-4002 | 2019-01-10 |
| 1023500246 | Premier Specialty Services, LLC | Internal Medicine | 1108 E Patterson St Ste 5, Kirksville, MO 63501-4002 | 2018-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245855642 | Tiffany Anna Athon | Pharmacist | Hy-vee Pharmacy, 500 N Baltimore, Kirksville, MO 63501 | 2020-06-11 |
| 1649829425 | Jillian Jo Pulis | Speech-Language Pathologist | 1300 S Cottage Ave, Kirksville, MO 63501 | 2019-09-05 |
| 1023662319 | Leah Dawn Murphy | Occupational Therapy Assistant | 1705 E La Harpe St, Kirksville, MO 63501 | 2019-07-25 |
| 1902302912 | Brittney Frances Snelling | Specialist/Technologist | 26820 State Hwy 11, Kirksville, MO 63501 | 2018-03-30 |
| 1063931434 | Kara Wehmeyer | Specialist/Technologist | 100 East Normal, Kirksville, MO 63501 | 2017-09-16 |
| 1285080796 | Hawkins Boone Mecham | General Practice | 407 S Main St # 2, Kirksville, MO 63501 | 2016-05-13 |
| 1003287848 | Lacosta Gaines | Nurse Practitioner | 1607 South Baltimore, Kirksville, MO 63501 | 2015-10-19 |
| 1427442573 | Madi Hoppe | Specialist/Technologist | 23571 Crest Trail, Kirksville, MO 63501 | 2015-03-26 |
| 1407247133 | High Hope Employment Services, Inc. | Day Training, Developmentally Disabled Services | 906 East Shepherd Avenue, Kirksville, MO 63501 | 2015-02-17 |
| 1497069694 | Ella Marie Callison | Physician Assistant | 1611 S Baltimore St Ste A, Kirksville, MO 63501 | 2010-07-29 |
| Find all providers in zip 63501 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326596081 | Jill Erlandsen | Counselor | 2001 S Halliburton St, Kirksville, MO 63501-4646 | 2016-09-12 |
| 1144679341 | Elizabeth Anne Miller | Counselor | 304 S Franklin St, Suite 300, Kirksville, MO 63501-3581 | 2016-06-08 |
| 1417338310 | Christy L Grissom | Counselor | 803 S Baltimore St, Kirksville, MO 63501-4025 | 2015-06-16 |
| 1528467909 | Carrie A. Campbell | Counselor | 2010 E Normal Ave, Kirksville, MO 63501-3321 | 2014-08-21 |
| 1528393824 | Thomas W Barhorst Lpc | Counselor | 915 S Baltimore St, Kirksville, MO 63501-4027 | 2009-10-05 |
| 1164577813 | Tricia Kay Brown | Counselor | 105 Pfeiffer Ave, Kirksville, MO 63501-5047 | 2007-01-24 |
| 1790840460 | Susan H Abrahams | Counselor | 218 N New St, Kirksville, MO 63501-3111 | 2006-12-23 |
| 1104829498 | Northeast Missouri Health Council, Inc. | Counselor | 1416 Crown Drive, Kirksville, MO 63501-2548 | 2005-05-31 |
| 1972128163 | Stacy M Simmons | Counselor | 105 Pfeiffer Ave, Kirksville, MO 63501-5047 | 2020-06-12 |
| 1639704877 | Thomas Vanvleck | Counselor | 1101 Jamison St, Kirksville, MO 63501-3943 | 2020-03-09 |
| Find all providers in KIRKSVILLE | ||||
| City | KIRKSVILLE |
| Zip Code | 63501 |
Please comment or provide details below to improve the information on MANDY LYNN TIPTON.
| 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.