JOSEPH BLAINE LIPPERT NPI 1356240170

NPI Information

  • NPI: 1356240170
  • Provider Name: JOSEPH BLAINE LIPPERT
  • Classification: Dietitian, Registered - 133V00000X
  • Entity Type: Individual
  • Address: 1108 E JEFFERSON ST APT 15
    BLOOMINGTON, IL
    ZIP 61701
  • Phone: (309) 825-1261

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NPI Details

Joseph Blaine Lippert is a dietitian registered in Bloomington, IL. The provider is a Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation. Joseph Blaine Lippert NPI is 1356240170. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1108 E JEFFERSON ST APT 15
BLOOMINGTON, IL
ZIP 61701-510
Phone: (309) 825-1261

The enumeration date for this NPI number is 11/5/2026 and was last updated on 11/5/2026.

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
1133V00000XDietitian, Registered164.024602ILLINOISYes

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: 11/21/2025

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