Provider Demographics
NPI:1235947706
Name:TIPPERY, LINDSEY M (RN)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:M
Last Name:TIPPERY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9701 PORTAL RD
Mailing Address - Street 2:
Mailing Address - City:LA VISTA
Mailing Address - State:NE
Mailing Address - Zip Code:68128-3150
Mailing Address - Country:US
Mailing Address - Phone:402-537-7000
Mailing Address - Fax:402-537-7095
Practice Address - Street 1:9701 PORTAL RD
Practice Address - Street 2:
Practice Address - City:LA VISTA
Practice Address - State:NE
Practice Address - Zip Code:68128-3150
Practice Address - Country:US
Practice Address - Phone:402-537-7000
Practice Address - Fax:402-537-7095
Is Sole Proprietor?:No
Enumeration Date:2024-12-30
Last Update Date:2024-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE66473163WC1500X, 163WM0705X, 163WP0807X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0807XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Child & Adolescent
No163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
No163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical