David Terrence Pippin, PEER SPECIALIST

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

6821 Medbury St
Detroit, MI 48211-3317

Phone

(313) 922-2222

Fax

(566) 287-5610

NPI assigned

Feb 1, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Quality Behavioral Health, Inc.

  • Community/Behavioral Health Agency
  • Detroit, MI
  • NPI 1558493916
  NPD

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

{
    "created_epoch": "1580515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580515200000",
    "number": "1356972947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6821 MEDBURY ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482113317",
            "telephone_number": "313-922-2222",
            "fax_number": "566-287-5610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6821 MEDBURY ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482113317",
            "telephone_number": "313-922-2222",
            "fax_number": "566-287-5610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "37490 Dequindre Rd",
            "address_purpose": "LOCATION",
            "city": "Sterling Heights",
            "state": "MI",
            "postal_code": "483103503",
            "country_code": "US",
            "telephone_number": "313-452-8676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIPPIN",
        "first_name": "DAVID",
        "middle_name": "TERRENCE",
        "credential": "PEER SPECIALIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-01",
        "last_updated": "2020-02-01",
        "certification_date": "2020-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pioneer Medical PLC
• Pioneers of Home Help Care LLC
• Lawrence Donald Piotrowski, DDS
• Emani Nahchelle Pippen, LPN
• Courtney Sharen Pippin, BA
• Lynn M Pisarski, CRNA
• Thomas Piskorowski, DO
• Rosemary Pitaro, DDS
• Jill Elizabeth Pitcher
• Mary Jo Pitera, APRN,BC NP

• Peer Specialist in Detroit, MI
• Providers in Detroit, MI by specialty
• Peer Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.