Stephaine N Bryant Lipp (NPI# 1356330435, PAC ID# 5890754659) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1356330435 |
| PAC ID by PECOS | 5890754659 |
| Professional Enrollment ID | I20041007000133 |
| Full Name | Stephaine N Bryant Lipp |
| Organization Legal Name | GRACE DIVINE, LLC |
| Address |
1919 E 52nd St Suite 200 Indianapolis IN 46205-1381 |
| Phone Number | 3174290120 |
| Gender | F |
| Credential | NP |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2000 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2264568377 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150056 | INDIANA UNIVERSITY HEALTH METHODIST HOSPITAL (INDIANAPOLIS) |
| 150169 | COMMUNITY HOSPITAL NORTH |
| Address | Phone | Organization |
|---|---|---|
| 1919 E 52nd St, Suite 200, Indianapolis, IN 46205-1381 | 3174290120 | GRACE DIVINE, LLC |
| Organization Legal Name | GRACE DIVINE, LLC |
| Physicians | 25 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Meredith Susanne Kelly | Nurse Practitioner | Grace Divine, LLC | 5256 E 65th St, Indianapolis, IN 46220-4819 |
| Tammy M Crace Browning | Physician Assistant | Grace Divine, LLC | 1919 E 52nd St, Suite 200, Indianapolis, IN 46205-1381 |
| Nikki Lynn Orourke | Nurse Practitioner | Grace Divine, LLC | 1919 E 52nd St, Suite 200, Indianapolis, IN 46205-1381 |
| India L Samuels | Nurse Practitioner | Grace Divine, LLC | 1919 E 52nd St, Suite 200, Indianapolis, IN 46205-1381 |
| Victoria Crawford | Nurse Practitioner | Grace Divine, LLC | 1919 E 52nd St, Suite 200, Indianapolis, IN 46205-1381 |
| Beth A Taylor | Nurse Practitioner | Grace Divine, LLC | 1919 E 52nd St, Suite 200, Indianapolis, IN 46205-1381 |
| Shaniece J Smith | Nurse Practitioner | Grace Divine, LLC | 1919 E 52nd St, Suite 200, Indianapolis, IN 46205-1381 |
| Jacqueline Sue Muncy | Nurse Practitioner | Grace Divine, LLC | 1919 E 52nd St, Suite 200, Indianapolis, IN 46205-1381 |
| Jasmina Cheeseman | Physician Assistant | Grace Divine, LLC | 1919 E 52nd St, Suite 200, Indianapolis, IN 46205-1381 |
| Margaret S Corbett | Physician Assistant | Grace Divine, LLC | 1919 E 52nd St, Suite 200, Indianapolis, IN 46205-1381 |
| Street Address |
1919 E 52ND ST SUITE 200 |
| City | INDIANAPOLIS |
| State | IN |
| Zip | 46205-1381 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tammy M Crace Browning | Physician Assistant | Grace Divine, LLC | 1919 E 52nd St, Suite 200, Indianapolis, IN 46205-1381 |
| Nikki Lynn Orourke | Nurse Practitioner | Grace Divine, LLC | 1919 E 52nd St, Suite 200, Indianapolis, IN 46205-1381 |
| India L Samuels | Nurse Practitioner | Grace Divine, LLC | 1919 E 52nd St, Suite 200, Indianapolis, IN 46205-1381 |
| Victoria Crawford | Nurse Practitioner | Grace Divine, LLC | 1919 E 52nd St, Suite 200, Indianapolis, IN 46205-1381 |
| Beth A Taylor | Nurse Practitioner | Grace Divine, LLC | 1919 E 52nd St, Suite 200, Indianapolis, IN 46205-1381 |
| Shaniece J Smith | Nurse Practitioner | Grace Divine, LLC | 1919 E 52nd St, Suite 200, Indianapolis, IN 46205-1381 |
| Jacqueline Sue Muncy | Nurse Practitioner | Grace Divine, LLC | 1919 E 52nd St, Suite 200, Indianapolis, IN 46205-1381 |
| Jasmina Cheeseman | Physician Assistant | Grace Divine, LLC | 1919 E 52nd St, Suite 200, Indianapolis, IN 46205-1381 |
| Margaret S Corbett | Physician Assistant | Grace Divine, LLC | 1919 E 52nd St, Suite 200, Indianapolis, IN 46205-1381 |
| Charles Van Meter | Sports Medicine | Grace Divine, LLC | 1919 E 52nd St, Suite 200, Indianapolis, IN 46205-1381 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeanetta Carol Conway | Nurse Practitioner | Grace Divine, LLC | 1919 E 52nd St, Suite 200, Indianapolis, IN 46205-1381 |
| Zachary Eppert | Nurse Practitioner | Grace Divine, LLC | 1919 E 52nd St, Suite 200, Indianapolis, IN 46205-1381 |
| Kelly Erin Suchar | Nurse Practitioner | Grace Divine, LLC | 1919 E 52nd St, Suite 200, Indianapolis, IN 46205-1381 |
| Olivia H Cronin | Emergency Medicine | Grace Divine, LLC | 1919 E 52nd St, Suite 200, Indianapolis, IN 46205-1381 |
| Twynea Manning | Nurse Practitioner | Grace Divine, LLC | 1919 E 52nd St, Suite 200, Indianapolis, IN 46205-1381 |
| Lynnelle Driver | Physician Assistant | Grace Divine, LLC | 1919 E 52nd St, Suite 200, Indianapolis, IN 46205-1381 |
| Carla K Taber | Clinical Social Worker | Aspire Indiana Inc | 2506 Willowbrook Pkwy, Suite 300, Indianapolis, IN 46205-1500 |
| Olivia H Winn | Clinical Social Worker | Aspire Indiana Inc | 2506 Willowbrook Pkwy, Suite 300, Indianapolis, IN 46205-1500 |
| Rebecca E Lovejoy | Clinical Social Worker | Aspire Indiana Inc | 2506 Willowbrook Pkwy, Suite 300, Indianapolis, IN 46205-1500 |
| Betsy J Rosiek | Psychiatry | Aspire Indiana Inc | 2506 Willowbrook Pkwy, Suite 300, Indianapolis, IN 46205-1500 |
| Find all physicians in zip 46205 | |||
| City | INDIANAPOLIS |
| Zip Code | 46205 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | INDIANAPOLIS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Stephaine N Bryant Lipp.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.