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DR. LISA JOAN NIPPOLDT-BACA PSYD LP ABPP NPI 1720314909


NPI Information

NPI: 1720314909
Provider Name: DR. LISA JOAN NIPPOLDT-BACA, PSYD, LP, ABPP
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1937 WOODLANE DRIVE
SUITE 101
WOODBURY, MN
ZIP 55125
Phone: (651) 764-8480
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DR. Lisa Joan Nippoldt-baca, PSYD, LP, ABPP is a clinical neuropsychologist in Woodbury, MN with 16 years of experience. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. DR. Lisa Joan Nippoldt-baca, PSYD, LP, ABPP NPI is 1720314909. 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:

1937 WOODLANE DRIVE
SUITE 101
WOODBURY, MN
ZIP 55125
Phone: (651) 764-8480
Fax: (651) 471-9253

The NPI 1720314909 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 10/23/2009 and was last updated on 4/25/2024.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC0700XPsychologistClinicalLP5271MINNESOTANo
2103G00000XClinical NeuropsychologistLP5271MINNESOTAYes
3103T00000XPsychologistLP5271MINNESOTANo

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.