Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KATIE LUCILLE LIPPMAN PA-C
NPI 1699453514
Physician Assistant - Medical in Jacksonville, 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 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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

10140 CENTURION PKWY N, JACKSONVILLE, FL 32256(904) 697-4100(904) 697-5102 Get Directions Write a Review

NPPES record last updated: September 23, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Sep 23, 2026, Jul 11, 2023 (2 updates tracked since 2023).

On this page

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 Jacksonville, Florida and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Maitland.

NPPES Registry Identity

NPI1699453514

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameKATIE LUCILLE LIPPMANCredential: PA-C

Location Address10140 CENTURION PKWY NJacksonville, FL 32256-0532

Mailing Address1111 Hyde CtLongwood, FL 32750-2943 · (954) 591-9557

Phone(904) 697-4100

Fax(904) 697-5102

Sole ProprietorNo

Enumeration DateJuly 10, 2023

Last NPPES UpdateSeptember 23, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 23, 2026

✔ 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

10140 CENTURION PKWY N, Jacksonville, FL 32256

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Other Names 1

Professional Name (2)Katie Lucille Durham

Secondary Practice Location 1

Location 1500 Winderley Pl Ste 115Maitland, FL 32751-7406 · Phone (407) 875-0555

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 5

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

THE NEMOURS FOUNDATION

Clinic/Center (Multi-Specialty)

10140 CENTURION PKWY N, THE NEMOURS FOUNDATION
JACKSONVILLE, FL 32256

Duval County (904) 697-5628

ELIZABETH CHRISTOPHER MS, RD

Dietitian, Registered

10140 CENTURION PKWY N
JACKSONVILLE, FL 32256

Duval County (904) 697-4100

MANUEL MARICHAL

Psychologist (Clinical Child & Adolescent)

10140 CENTURION PKWY N
JACKSONVILLE, FL 32256

Duval County (904) 697-4100

CATHERINE MORTON HANEY NNP-BC

Nurse Practitioner (Neonatal)

10140 CENTURION PKWY N
JACKSONVILLE, FL 32256

Duval County (904) 697-4100

DR. SANA SYEEDA RAHIMI DO

Pediatrics

10140 CENTURION PKWY N
JACKSONVILLE, FL 32256

Duval County (904) 697-4100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Katie Lippman located?

Katie Lippman practices at 10140 Centurion Pkwy N, Jacksonville, FL 32256. The listed phone number is (904) 697-4100.

What is Katie Lippman's specialty?

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

Is Katie Lippman enrolled in Medicare?

Yes. Katie Lippman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Katie Lippman was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.