Jessica Sarah Kathryn Tipton
Nurse Practitioner (Family)

Address: 8701 Old Troy Pike Ste 10, Huber Heights, OH 45424-1053
Phone: 9372375294

Jessica Sarah Kathryn Tipton (NPI# 1790208577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1790208577
Entity Type Individual
Full Name Jessica Sarah Kathryn Tipton
Credential NP-C
Gender Female
Practice Address 8701 Old Troy Pike Ste 10
Huber Heights
OH 45424-1053
Practice Telephone 9372375294
Practice Fax Number 9372374748
Mailing Address 500 N Main St
Lewisburg
OH 45338-9503
Mailing Telephone 9372978999
Mailing Fax Number 9372974852
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2017-07-24
Last Update Date 2019-12-04

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363LF0000X Nurse Practitioner · Family Physician Assistants & Advanced Practice Nursing Providers APRN.CNP.021000 OH

Physician Overview

NPI 1790208577
PAC ID by PECOS 8729350582
Professional Enrollment ID I20170815001260
Full Name Jessica Tipton
Organization Legal Name PROVIDENCE MEDICAL GROUP
Phone Number 9372375294
Gender F
Medical School WRIGHT STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 2017
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 2860386349
Number of Group Practice Members 37
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
360133 GRANDVIEW AND SOUTHVIEW HOSPITALS

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to comeā€¦

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366066706 Ashley E Thatcher Nurse Practitioner 8638 Old Troy Pike Ste 103, Huber Heights, OH 45424-1062 2020-06-02
1598222127 Penny B Drazer Nurse Practitioner 8290 Old Troy Pike, Huber Heights, OH 45424-1056 2019-03-01
1124471545 Jeffrey Penny Nurse Practitioner 8290 Old Troy Pike Ste 40a, Huber Heights, OH 45424 2016-07-20
1356342984 Sandra L Smith Nurse Practitioner 4996 Brandt Pike, Huber Heights, OH 45424-6054 2005-08-04
1730663238 Shannon Shea Stireman Nurse Practitioner 8638 Old Troy Pike, Huber Heights, OH 45424-1051 2018-09-20
1114407061 Rian Kyles-stewart Nurse Practitioner 8701 Old Troy Pike Ste 20, Huber Heights, OH 45424-1073 2018-08-20
1356829170 Seth Brinkman Nurse Practitioner 4996 Brandt Pike, Huber Heights, OH 45424-6054 2018-08-02
1588141808 Elissa Marie Reed Nurse Practitioner 8701 Old Troy Pike Ste 20, Huber Heights, OH 45424-1073 2018-07-20
1134611684 Eva Marie Linkenbach Nurse Practitioner 8701 Old Troy Pike, Huber Heights, OH 45424-1066 2018-05-31
1265944219 Jennifer Marie Shears Nurse Practitioner 8290 Old Troy Pike Ste 40a, Huber Heights, OH 45424 2017-10-31
Find all providers in HUBER HEIGHTS

Office Location

Street Address 8701 OLD TROY PIKE STE 10
City HUBER HEIGHTS
State OH
Zip Code 45424-1053

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215402409 Julie Ann Robinson Case Manager/Care Coordinator 7502 Mount Whitney, Huber Heights, OH 45424 2018-10-04
1275061103 Thalia Duncan-alexander Rehabilitation Counselor 5414 Quisenberry Dr., Dayton, OH 45424 2017-05-23
1487181574 Caitlyn Anne Frantz Family Medicine 6255 Chambersburg Rd Ste 2, Dayton, OH 45424 2017-05-19
1942736111 Jessica Winkler Registered Nurse 1771 Old Palmer Road Nw, Washington Court House, OH 45424 2017-05-10
1679029417 Heather Marlow Pharmacy Technician 5300 Executive Blvd, Huber Heights, OH 45424 2016-08-31
1124471545 Jeffrey Penny Nurse Practitioner 8290 Old Troy Pike Ste 40a, Huber Heights, OH 45424 2016-07-20
1619344330 Tamika Nicole Wood Home Health Aide 5602 Troy Villa Blvd, Huber Heights, OH 45424 2015-08-28
1730505983 Stephanie D. Bihn Speech-Language Pathologist 5954 Longford Road, Huber Heights, OH 45424 2014-03-12
1003248170 Federated Medical Supplies, LLP Durable Medical Equipment & Medical Supplies 5053 Pepper Dr., Dayton, OH 45424 2013-07-31
1710200431 William D Folk Pharmacist 5045 Heather Way, Dayton, OH 45424 2010-03-09
Find all providers in zip 45424

Competitor

Search similar providers

City HUBER HEIGHTS
Zip Code 45424

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.