Active NPI
Michelle L. Pixley Tippitt, CPNP
- Pediatrics Physician
- Helena, AR
National Provider Identifier
1972706265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- R656577
- Practice address
- 626 Poplar St
Helena, AR 72342-3140 - Phone
- (870) 338-8163
- NPI assigned
- Jun 6, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | R656577 | MS | Primary |
| Nurse Practitioner | 363L00000X | ATP000518 | AR |
Addresses
Primary practice location
626 Poplar St
Helena, AR 72342-3140
Mailing address
2075 Hopson Pixley Rd
Clarksdale, MS 38614-9037
Phone (662) 645-0440
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05872856 | Medicaid | MS |
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)
- Enrolled
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ATP000518 | AR | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bell Clinic P.a. | Past | Accepting new patients | |
| Bell-Winstonclinic,P.a. | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/27024/brand/1/csg/1/fhir/r4
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 and National Provider Directory roles.
-
- Rural Health Clinic/Center
- Helena, AR
- NPI 1306832845
-
- Rural Health Clinic/Center
- Elaine, AR
- NPI 1427044627
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1972706265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2075 HOPSON PIXLEY RD",
"city": "CLARKSDALE",
"state": "MS",
"postal_code": "386149037",
"telephone_number": "662-645-0440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "626 POPLAR ST",
"city": "HELENA",
"state": "AR",
"postal_code": "723423140",
"telephone_number": "870-338-8163"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIPPITT",
"first_name": "MICHELLE",
"middle_name": "L. PIXLEY",
"credential": "CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-06",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MS",
"license": "R656577",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AR",
"license": "ATP000518",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05872856",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Helena, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.