Provider Type Icon

ANNA LIZA TIPGOS KILCOYNE FNP-C NPI 1720569676


NPI Information

NPI: 1720569676
Provider Name: ANNA LIZA TIPGOS KILCOYNE, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: BAYSTATE MEDICAL PRACTICES INC

PECOS Registration: Yes

Address:
3300 MAIN STREET
3RD FL, SUITE C&D
SPRINGFIELD, MA
ZIP 01107
Phone: (413) 794-5600
Get Directions

Anna Liza Tipgos Kilcoyne, FNP-C is a family nurse practitioner in Springfield, MA with 6 years of experience. Anna Liza Tipgos Kilcoyne, FNP-C NPI is 1720569676. 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:

3300 MAIN STREET
3RD FL, SUITE C&D
SPRINGFIELD, MA
ZIP 01107-112
Phone: (413) 794-5600
Fax: (413) 794-7297

The NPI 1720569676 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, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/28/2018 and was last updated on 12/2/2019.


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
1363LF0000XNurse PractitionerFamilyRN237810MASSACHUSETTSYes

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: 11/14/2023

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.