Individual provider Active NPI

Paige Pipsair, FNP-C

  • Family Nurse Practitioner
  • Gray, LA
National Provider Identifier
1588320089
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
218160 Issued in LA
Practice address
123 Frontage Road a
Gray, LA 70359-6301
Phone
(985) 580-1200
NPI assigned
Nov 10, 2021
Last updated
Nov 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 218160 LA Primary

Addresses

Primary practice location

123 Frontage Road a
Gray, LA 70359-6301

Mailing address

123 Frontage Road a
Gray, LA 70359-6301

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211215000696 LA Practitioner - Nurse Practitioner 8022409622 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

123 Frontage Rd a
Gray, LA 70359-6301
Phone (985) 580-1200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
218160LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Headache & Pain Center, a Medical Corporation CurrentSince Dec 1, 2021 Accepting new patients
Headache & Pain Center, a Medical Corporation CurrentSince Dec 1, 2021 Accepting new patients

Locations

123 Frontage Road a
Gray, LA 70359
Phone (985) 580-1200

531A Jefferson Ter
New Iberia, LA 70560
Phone (337) 560-0880

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1636502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1588320089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 FRONTAGE ROAD A",
            "city": "GRAY",
            "state": "LA",
            "postal_code": "703596301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 FRONTAGE ROAD A",
            "city": "GRAY",
            "state": "LA",
            "postal_code": "703596301",
            "telephone_number": "985-580-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIPSAIR",
        "first_name": "PAIGE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-10",
        "last_updated": "2021-11-10",
        "certification_date": "2021-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "218160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gray, LA

Sources for this page

Verify at the official NPI Registry.