KATIE LUCILLE LIPPMAN PA-C
NPI 1699453514
Physician Assistant - Medical in Maitland, FL

Q: What is Katie Lippman's NPI number?

The NPI number for Katie Lippman is 1699453514. It was assigned to this individual provider in the NPPES registry on July 10, 2023. The provider is also known as Katie Lucille Durham.

Q: What is Katie Lippman's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Katie Lippman was last updated on September 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 10, 2023PECOS Enrolled

500 WINDERLEY PL STE 115, MAITLAND, FL 32751(407) 875-0555 Get Directions Write a Review

NPPES record last updated: September 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Katie Lucille Lippman Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATIE LUCILLE LIPPMAN PA-C (NPI 1699453514) is an individual medical provider in Maitland, Florida and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699453514

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameKATIE LUCILLE LIPPMANCredential: PA-C

Location Address500 WINDERLEY PL STE 115Maitland, FL 32751-7406

Mailing Address595 Calibre Crest Pkwy Apt 106Altamonte Springs, FL 32714-3641 · (954) 591-9557

Phone(407) 875-0555

Sole ProprietorNo

Enumeration DateJuly 10, 2023

Last NPPES UpdateSeptember 20, 2023

NPPES CertifiedSeptember 20, 2023

✔ NPI 1699453514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

500 WINDERLEY PL STE 115, Maitland, FL 32751

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Other Names 1

Former Name (1)Katie Lucille Durham

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katie Lucille Lippman Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

12 services11 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUN HEE KIM CRNA

Nurse Anesthetist, Certified Registered