Princess Diane Pippen, CRNP-FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-132390 Issued in AL

Practice address

606 Southern Trace Pkwy
Leeds, AL 35094-6604

Phone

(205) 913-8965

NPI assigned

Mar 15, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• BKD Alabama SNF LLC

  • Skilled Nursing Facility
  • Birmingham, AL
  • NPI 1366700528

  Operational/Managerial Control

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1678838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1023719150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 SOUTHERN TRACE PKWY",
            "city": "LEEDS",
            "state": "AL",
            "postal_code": "350946604",
            "telephone_number": "205-913-8965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 SOUTHERN TRACE PKWY",
            "city": "LEEDS",
            "state": "AL",
            "postal_code": "350946604",
            "telephone_number": "205-913-8965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIPPEN",
        "first_name": "PRINCESS",
        "middle_name": "DIANE",
        "credential": "CRNP-FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-15",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-132390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Parker Patterson, PT, DPT
• Savannah Jo Payne
• Peterson Dental, LLC
• Eric Warren Peterson, D.M.D.
• Phillip B Tickner OD & Associates LLC
• Jackson Pollard
• Ann Prendergast, RPH
• Jennifer Prentice, PHARM. D.
• Jason Brian Pulliam, OD
• Quality Care Counseling, Inc.

• Family Nurse Practitioner in Leeds, AL
• Providers in Leeds, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.