Active NPI
Amanda Kay Pippenger, APRN
- Family Nurse Practitioner
- Siloam Springs, AR
National Provider Identifier
1336455658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 120897
- Practice address
- 1700 E Quarter Rd
Siloam Springs, AR 72761-4603 - Phone
- (479) 238-1222
- NPI assigned
- Aug 24, 2010
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 120897 | AR | Primary |
Addresses
Primary practice location
1700 E Quarter Rd
Siloam Springs, AR 72761-4603
Mailing address
2861 Chip Shot Dr
Farmington, AR 72730-8833
Phone (630) 301-1833
Other practice location 1
404 Park St
Yorkville, IL 60560-2101
Phone (630) 553-6530
Other names 1
- Mrs. Amanda Pippenger
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 |
|---|---|---|---|
| 120897 | AR | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562889600000",
"number": "1336455658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2861 CHIP SHOT DR",
"city": "FARMINGTON",
"state": "AR",
"postal_code": "727308833",
"telephone_number": "630-301-1833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 E QUARTER RD",
"city": "SILOAM SPRINGS",
"state": "AR",
"postal_code": "727614603",
"telephone_number": "479-238-1222"
}
],
"practiceLocations": [
{
"address_1": "404 Park St",
"address_purpose": "LOCATION",
"city": "Yorkville",
"state": "IL",
"postal_code": "605602101",
"country_code": "US",
"telephone_number": "630-553-6530",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PIPPENGER",
"first_name": "AMANDA",
"middle_name": "KAY",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-24",
"last_updated": "2019-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AR",
"license": "120897",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "PIPPENGER",
"prefix": "MRS.",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Siloam Springs, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.