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NPI Code Detail

MEDICARE: SIMPLIFED, INC.

MEDICARE: SIMPLIFED, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WL0100XLactation Consultant (Registered Nurse)
2363L00000XNurse Practitioner
3174N00000XLactation Consultant (Non-RN)
4207V00000XObstetrics & Gynecology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10OTHERN/A AS OF NOW

General Provider Information

NPI Number : 1437741907
Entity Type Code : Organization
Provider Name (Legal Business Name) : SIMPLIFED, INC.
Provider Business Mailing Address
First Line : 314 E STATE ST
Second Line :
City : ITHACA
State : NY
Zip : 14850-4318
Country : US
Telephone Number : 844-799-0538
Fax Number :
Provider Business Practice Location Address
First Line : 314 E STATE ST
Second Line :
City : ITHACA
State : NY
Zip : 14850-4318
Country : US
Telephone Number : 844-799-0538
Fax Number :
Authorized Official
Title or Position : CEO
Name : ANDREA IPPOLITO
Credential :
Telephone Number : 844-799-0538
Provider Enumeration Date : 02/06/2021
Last Update Date : 04/20/2026

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ITHACA, NY
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1952009615 — SIMPLIFED IPA LLC
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1184495509 — CHRISTY DIANNE BEITEL RN, IBCLC
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Directions to “SIMPLIFED, INC. ” Practice Location

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