Active NPI
Donna R. Chipps, P.N.P.
- Pediatric Nurse Practitioner
- Roseville, CA
National Provider Identifier
1053565283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- RN406619
- Practice address
- 1451 Secret Ravine Pkwy
Suite 150
Roseville, CA 95661-6052 - Phone
- (916) 580-2412
- Fax
- (916) 774-6083
- NPI assigned
- Nov 14, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | RN406619 | CA | Primary |
Addresses
Primary practice location
1451 Secret Ravine Pkwy
Suite 150
Roseville, CA 95661-6052
Mailing address
1451 Secret Ravine Pkwy
Suite 150
Roseville, CA 95661-6052
Phone (916) 580-2412
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN406619 | CA | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226620800000",
"number": "1053565283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1451 SECRET RAVINE PKWY",
"address_2": "SUITE 150",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956616052",
"telephone_number": "916-580-2412",
"fax_number": "916-774-6083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1451 SECRET RAVINE PKWY",
"address_2": "SUITE 150",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956616052",
"telephone_number": "916-580-2412",
"fax_number": "916-774-6083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIPPS",
"first_name": "DONNA",
"middle_name": "R.",
"credential": "P.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-14",
"last_updated": "2008-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "CA",
"license": "RN406619",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.