Healthcare Provider Details

I. General information

NPI: 1841223294
Provider Name (Legal Business Name): KELLY ANN LIPPI N.P., M.S.N., R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 POTRERO AVE SAN FRANCISCO GENERAL HOSPITAL, EMERGENCY DEPT.
SAN FRANCISCO CA
94110-3518
US

IV. Provider business mailing address

162 EVERSON ST
SAN FRANCISCO CA
94131-2637
US

V. Phone/Fax

Practice location:
  • Phone: 405-206-8979
  • Fax: 415-206-5818
Mailing address:
  • Phone: 415-307-3822
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License NumberRN633050
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNP15563
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code364SM0705X
TaxonomyMedical-Surgical Clinical Nurse Specialist
License NumberCNS2214
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: