Individual provider Active NPI

Michelle L. Pixley Tippitt, CPNP

  • Pediatrics Physician
  • Helena, AR
National Provider Identifier
1972706265
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
R656577 Issued in MS
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

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
05872856MedicaidMS

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

LicenseStateTypeSpecialty
ATP000518ARMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bell Clinic P.a. Past Accepting new patients
Bell-Winstonclinic,P.a. Past Accepting new patients

Interoperability endpoints

  • FHIR API: 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.

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.

Verify at the official NPI Registry.