Active NPI
Kendra Pipkin, CST
- Community Health Worker
- Arlington, TX
National Provider Identifier
1619159696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 103217
- Practice address
- 507 Crownpoint LN
Arlington, TX 76002-4780 - Phone
- (817) 472-9715
- Fax
- (817) 557-1079
- NPI assigned
- Nov 30, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 103217 | TX | Primary |
Addresses
Primary practice location
507 Crownpoint LN
Arlington, TX 76002-4780
Mailing address
507 Crownpoint LN
Arlington, TX 76002-4780
Phone (817) 472-9715
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 |
|---|---|---|---|
| 103217 | TX | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196380800000",
"number": "1619159696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "507 CROWNPOINT LN",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760024780",
"telephone_number": "817-472-9715",
"fax_number": "817-557-1079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "507 CROWNPOINT LN",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760024780",
"telephone_number": "817-472-9715",
"fax_number": "817-557-1079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIPKIN",
"first_name": "KENDRA",
"name_prefix": "Ms.",
"credential": "CST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-30",
"last_updated": "2007-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "TX",
"license": "103217",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.