MS. JODI LYNN TIPPETT APRN BC NPI 1083797302

NPI Information

NPI: 1083797302
Provider Name: MS. JODI LYNN TIPPETT, APRN BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
169 ELM ST
WALTHAM, MA
ZIP 02453
Phone: (781) 894-8440
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MS. Jodi Lynn Tippett, APRN BC is a psychiatric/mental health nurse practitioner in Waltham, MA. MS. Jodi Lynn Tippett, APRN BC NPI is 1083797302. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

169 ELM ST
WALTHAM, MA
ZIP 02453-356
Phone: (781) 894-8440
Fax: (781) 894-1202

The enumeration date for this NPI number is 10/23/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	237497	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1303287	OTHER	MASSACHUSETTS	MBHP
2	NS0690	MEDICARE UPIN
3	M18633	OTHER	MASSACHUSETTS	BCBS
4	Y10074	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS
5	1303287	MEDICAID	MASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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