1538286018 NPI number — HILARY BETH LIPSON-PARRA APRN,BC,RN,CNS,PHD

Table of content: HILARY BETH LIPSON-PARRA APRN,BC,RN,CNS,PHD (NPI 1538286018)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1538286018 NPI number — HILARY BETH LIPSON-PARRA APRN,BC,RN,CNS,PHD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LIPSON-PARRA
Provider First Name:
HILARY
Provider Middle Name:
BETH
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
APRN,BC,RN,CNS,PHD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1538286018
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6908 WESTERN OAKS BLVD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
AUSTIN
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78749-2228
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
512-899-4557
Provider Business Mailing Address Fax Number:
512-899-2974

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1101 S CAPITAL OF TEXAS HWY
Provider Second Line Business Practice Location Address:
BLDG. A-290
Provider Business Practice Location Address City Name:
AUSTIN
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78746-6445
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
512-347-8600
Provider Business Practice Location Address Fax Number:
512-899-2974
Provider Enumeration Date:
03/22/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 364SP0808X , with the licence number:  238679 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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