Active NPI
Virginia D Pippin, IBCLC
- Specialist
- Fayetteville, AR
National Provider Identifier
1356022263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- L-311049
- Practice address
- 2211 Main Dr
Fayetteville, AR 72704-5292 - Phone
- (479) 485-1215
- NPI assigned
- Jul 25, 2023
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | L-311049 | LA | Primary |
Addresses
Primary practice location
2211 Main Dr
Fayetteville, AR 72704-5292
Mailing address
37 Lancaster Dr
Bella Vista, AR 72715-5329
Phone (337) 207-5179
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 |
|---|---|---|---|
| L-311049 | LA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atkins Property Management | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Lactation Consultant (Non-RN)
- Fayetteville, AR
- NPI 1528675238
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690243200000",
"number": "1356022263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 LANCASTER DR",
"city": "BELLA VISTA",
"state": "AR",
"postal_code": "727155329",
"telephone_number": "337-207-5179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2211 MAIN DR",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727045292",
"telephone_number": "479-485-1215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIPPIN",
"first_name": "VIRGINIA",
"middle_name": "D",
"name_prefix": "Mrs.",
"credential": "IBCLC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-25",
"last_updated": "2023-07-25",
"certification_date": "2023-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "LA",
"license": "L-311049",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.