Kevin Eugene Pippens Jr., PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1-176755 Issued in AL

Practice address

2020 10TH St NW
Birmingham, AL 35215-4238

Phone

(205) 835-7113

NPI assigned

Oct 17, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1697500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1245012079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 10TH ST NW",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352154238",
            "telephone_number": "205-835-7113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 10TH ST NW",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352154238",
            "telephone_number": "205-835-7113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIPPENS",
        "first_name": "KEVIN",
        "middle_name": "EUGENE",
        "name_suffix": "Jr.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-17",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "AL",
            "license": "1-176755",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AL",
            "license": "1-176755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily S Pinon, PHARM. D.
• Caroline Pinson
• Marilyn Bennett Pinson
• Elizabeth Pinto
• Amberly Pipkin
• James Allen Pirkle Jr., M.D.
• Kalista Pirkle
• Kimberly Marie Piros
• Daniel Flavius Pirvan, M.D.
• Alexander Pisaturo, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.