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Deactivated NPI 1124296306 Deactivated / Inactive NPI Female Practitioner

Judy Marie Lippe , RD, CSR, LD

Dietitian, Registered • San Angelo, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Judy Lippe has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 11, 2008
NPI Deactivation Date October 28, 2019
Total Practice Duration ~11 Years of Practice (2008 – 2019)

Professional Overview & Biography Verified Profile Summary

Judy Lippe, RD, CSR, LD was a registered Dietitian, Registered practicing in San Angelo, TX. Throughout an active medical career spanning 11 years, Judy Lippe provided care at the practice location at 120 E HARRIS AVE until profile deactivation on 2019-10-28.

Practice Location & Contact Primary Location

Practice Address

120 E Harris Ave
Shannon Medical Center

San Angelo, TX 769035904

Telephone 3256575246
Fax 3256575453
Associated Practice Facility / Clinic
🏢 Shannon Medical Center Facility NPI 1992707228

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in San Angelo, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.0 Yrs
State Avg: 13.6 Yrs
Regional Practice Density
22 Specialists

Practicing in San Angelo, TX (5148 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License TX DTO5464

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Chelsie Barnes , RDN, LD

Dietitian, Registered

NPI 1316312341

Registered Dietitian Nutritionist, Licensed Dietitian

Angeleque Tone , RD, LD

Dietitian, Registered

NPI 1588841050

Registered Dietitian, Licensed Dietitian

Jane Cocuzzi , RD, LD, CDE

Dietitian, Registered

NPI 1699944579

Registered Dietitian, Licensed Dietitian, Certified Diabetes Educator

Nancy Lasater , RD

Dietitian, Registered

NPI 1942487418

Registered Dietitian

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 28, 2019

Record deactivated on October 28, 2019

NPI Profile Active February 11, 2008

NPI status registered as active in NPPES database

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Updated Practice Location February 11, 2008

Registered at 120 E HARRIS AVE, SHANNON MEDICAL CENTER, SAN ANGELO, TX 769035904 (Tel: 3256575246)

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Updated Business Mailing Address February 11, 2008

Registered at 120 E HARRIS AVE, SHANNON MEDICAL CENTER, SAN ANGELO, TX 769035904 (Tel: 3256575246)

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Provider Name / Credentials Updated February 11, 2008

Recorded as JUDY LIPPE, RD,CSR,LD

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 11, 2008

Dietitian, Registered (License #DTO5464 in TX)

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Initial NPI Registration & Enumeration February 11, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124296306
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 11, 2008
Last Update: February 11, 2008
Deactivation Date: October 28, 2019

Mailing Address

120 E Harris Ave, Shannon Medical Center

San Angelo, TX 769035904

Phone: 3256575246

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.