LISA DIANE KIPPENBERGER PA-C
NPI 1881693414
Physician Assistant in Oklahoma City, OK

Active since July 15, 2005
9600 BROADWAY EXT, OKLAHOMA CITY, OK 73114(405) 486-2140(405) 486-2574 Get Directions Write a Review

NPPES record last updated: September 27, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lisa Diane Kippenberger Pa-c NPPES

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

LISA DIANE KIPPENBERGER PA-C (NPI 1881693414) is an individual physician assistant in Oklahoma City, Oklahoma, licensed in Oklahoma (PA977) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1881693414
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLISA DIANE KIPPENBERGERCredential: PA-C
Location Address9600 BROADWAY EXTOklahoma City, OK 73114-7408
Mailing Address9600 Broadway ExtOklahoma City, OK 73114-7408 · (405) 486-2140 · Fax (405) 486-2574
Fax(405) 486-2574
Sole ProprietorNo
Enumeration DateJuly 15, 2005
Last NPPES UpdateSeptember 27, 2013
NPI 1881693414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in OK · PA977
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
9600 BROADWAY EXT, Oklahoma City, OK 73114

Other Names 1

Former Name (1)Lisa Diane Hightower Pa-c

Other Identifiers 4

Medicare ID-Type UnspecifiedPA00977OK
Other970015207OK · Railroad Medicare
Medicare UPINP09793
Medicaid100096810AOK

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.

Physical Therapist
9600 BROADWAY EXT
OKLAHOMA CITY, OK 73114
Nurse Anesthetist, Certified Registered
9600 BROADWAY EXT
OKLAHOMA CITY, OK 73114
Pharmacist
9600 BROADWAY EXT
OKLAHOMA CITY, OK 73114
Orthopaedic Surgery (Hand Surgery)
9600 BROADWAY EXT
OKLAHOMA CITY, OK 73114
Physician Assistant
9600 BROADWAY EXT
OKLAHOMA CITY, OK 73114
Physician Assistant
9600 BROADWAY EXT
OKLAHOMA CITY, OK 73114
Orthopaedic Surgery
9600 BROADWAY EXT
OKLAHOMA CITY, OK 73114
Pharmacy (Community/Retail Pharmacy)
9600 BROADWAY EXT
OKLAHOMA CITY, OK 73114

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 Lisa Kippenberger's NPI number?

The NPI number for Lisa Kippenberger is 1881693414. It was assigned to this individual provider in the NPPES registry on July 15, 2005. The provider is also known as Lisa Diane Hightower Pa-C.

Where is Lisa Kippenberger located?

Lisa Kippenberger practices at 9600 Broadway Ext, Oklahoma City, OK 73114. The listed phone number is (405) 486-2140.

What is Lisa Kippenberger's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Lisa Kippenberger was last updated on September 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.