Dr Lisa Joan Nippoldt-baca, PSYD, LP, ABPP is a
Clinical Neuropsychologist based in Woodbury, Minnesota. Dr Lisa Joan Nippoldt-baca is licensed to practice in Minnesota (license number LP5271) and her current practice location is
1937 Woodlane Drive, Suite 101, Woodbury, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(651) 764-8480.
NPI number for Dr Lisa Joan Nippoldt-baca is 1720314909 and her current mailing address is 1937 Woodlane Drive, Suite 101, Woodbury, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1720314909.
Healthcare Provider's Profile
| Full Name | Dr Lisa Joan Nippoldt-baca |
|---|
| Gender | Female |
|---|
| Speciality | Clinical Neuropsychologist |
|---|
| Location | 1937 Woodlane Drive, Woodbury, Minnesota |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1720314909
- Provider Enumeration Date: 10/23/2009
- Last Update Date: 04/25/2024
Medical Identifiers
Medical identifiers for Dr Lisa Joan Nippoldt-baca such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720314909 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | LP5271 (Minnesota) | Secondary |
| 103G00000X | Clinical Neuropsychologist | LP5271 (Minnesota) | Primary |
| 103T00000X | Psychologist | LP5271 (Minnesota) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Lisa Joan Nippoldt-baca is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Lisa Joan Nippoldt-baca, PSYD, LP, ABPP
1937 Woodlane Drive, Suite 101,
Woodbury, MN 55125
Ph: (651) 764-8480 | Dr Lisa Joan Nippoldt-baca, PSYD, LP, ABPP
1937 Woodlane Drive, Suite 101,
Woodbury, MN 55125
Ph: (651) 764-8480 |
Reviews and Comments