Individual provider Active NPI

Dana Easterling Pippin, DO

  • Family Medicine Physician
  • Lake Providence, LA
National Provider Identifier
1245856053
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
338784 Issued in LA
Practice address
340 N Hood St
Lake Providence, LA 71254-2140
Phone
(318) 559-2404
NPI assigned
Jun 18, 2020
Last updated
Sep 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 338784 LA Primary

Addresses

Primary practice location

340 N Hood St
Lake Providence, LA 71254-2140

Mailing address

340 N Hood St
Lake Providence, LA 71254-2140
Phone (318) 559-2404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231122000374 LA Practitioner - Family Practice 4183094295 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
William Carey University College of Osteopathic Medicine, 2020
Medicare assignment
May accept Medicare assignment
Group practices
East Carroll Parish HospitalGroup PAC ID 1153216619, 36 clinicians

Practice addresses (Care Compare)

336 N Hood St
Lake Providence, LA 71254-2140
Phone (318) 559-4023

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
338784LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Carroll Parish Hospital CurrentSince Oct 30, 2023 Accepting new patients
East Carroll Parish Hospital CurrentSince Oct 30, 2023 Accepting new patients
East Carroll Parish Hospital Past Accepting new patients

Locations

340 N Hood St
Lake Providence, LA 71254
Phone (318) 559-2404

336 N Hood St
Lk Providence, LA 71254
Phone (318) 559-4023

Interoperability endpoints

  • Direct secure messaging: dana.pippin.1@11988.direct.athenahealth.com

Organizations & group practices 3

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1592438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1245856053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 N HOOD ST",
            "city": "LAKE PROVIDENCE",
            "state": "LA",
            "postal_code": "712542140",
            "telephone_number": "318-559-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 N HOOD ST",
            "city": "LAKE PROVIDENCE",
            "state": "LA",
            "postal_code": "712542140",
            "telephone_number": "318-559-2404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIPPIN",
        "first_name": "DANA",
        "middle_name": "EASTERLING",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-18",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "338784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Providence, LA

Sources for this page

Verify at the official NPI Registry.