Active NPI
Brent M Pippins, AGNP-C
- Registered Nurse
- Monroe, LA
National Provider Identifier
1770140642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN147407
- Practice address
- 3200 Sterlington Rd Apt 211
Monroe, LA 71203-2681 - Phone
- (318) 355-0692
- NPI assigned
- May 25, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN147407 | LA | Primary |
Addresses
Primary practice location
3200 Sterlington Rd Apt 211
Monroe, LA 71203-2681
Mailing address
3200 Sterlington Rd Apt 211
Monroe, LA 71203-2681
Phone (318) 355-0692
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN147407 | LA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Association of Northeast Louisiana Inc. | Current | Accepting new patients |
Locations
102 Thomas Rd
Ste 103
West Monroe, LA 71291
Phone (318) 387-1946
Interoperability endpoints
- bpippins77325@direct.casso.us.com
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.
-
- Medical Specialty Clinic/Center
- West Monroe, LA
- NPI 1023185220
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558742400000",
"number": "1770140642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 STERLINGTON RD APT 211",
"city": "MONROE",
"state": "LA",
"postal_code": "712032681",
"telephone_number": "318-355-0692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 STERLINGTON RD APT 211",
"city": "MONROE",
"state": "LA",
"postal_code": "712032681",
"telephone_number": "318-355-0692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIPPINS",
"first_name": "BRENT",
"middle_name": "M",
"credential": "AGNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-25",
"last_updated": "2019-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "LA",
"license": "RN147407",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.