Individual provider Active NPI

Laura Hill Flippin, MSN, FNP-C

  • Family Nurse Practitioner
  • Grenada, MS
National Provider Identifier
1720554397
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
902889 Issued in MS
Practice address
1201 Sunset Dr
Grenada, MS 38901-4063
Phone
(662) 520-4000
Fax
(662) 913-2621
NPI assigned
Oct 22, 2018
Last updated
Aug 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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 902889 MS Primary

Addresses

Primary practice location

1201 Sunset Dr
Grenada, MS 38901-4063

Mailing address

1201 Sunset Dr
Grenada, MS 38901-4063
Phone (662) 520-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20190408000681 MS Practitioner - Nurse Practitioner 8921349655 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rapid Track Urgent Care, LLCGroup PAC ID 8820431943, 9 clinicians

Practice addresses (Care Compare)

1201 Sunset Dr
Grenada, MS 38901-4063
Phone (662) 222-1070

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
902889MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rapid Track Urgent Care LLC CurrentSince Aug 19, 2024 Accepting new patients
C and K Pharmacy CurrentSince Sep 5, 2021 Accepting new patients
Quick Care Clinic LLC CurrentSince Apr 1, 2019 Accepting new patients
Fast Pace Mississippi, PLLC Family CurrentSince May 1, 2024 Accepting new patients
Fast Pace Mississippi, PLLC CurrentSince May 1, 2024 Accepting new patients

Locations

2009 Highway 82 W
Greenwood, MS 38930
Phone (662) 595-4601

1201 Sunset Dr
Grenada, MS 38901
Phone (662) 222-1070

350 Sunset Dr
Grenada, MS 38901
Phone (662) 307-2221

700 Sunset Dr
Grenada, MS 38901
Phone (662) 307-2884

517 City Ave S
Ripley, MS 38663
Phone (662) 587-8206

Organizations & group practices 5

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1720554397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 SUNSET DR",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389014063",
            "telephone_number": "662-520-4000",
            "fax_number": "662-913-2621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 SUNSET DR",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389014063",
            "telephone_number": "662-520-4000",
            "fax_number": "662-913-2621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLIPPIN",
        "first_name": "LAURA",
        "middle_name": "HILL",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-22",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "902889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grenada, MS

Sources for this page

Verify at the official NPI Registry.