Basic Information
Provider Information
NPI: 1407276108
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HIPP
FirstName: DANA
MiddleName: WARREN
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1211 GOODLOE DR
Address2:  
City: NASHVILLE
State: TN
PostalCode: 372152523
CountryCode: US
TelephoneNumber: 6152002780
FaxNumber: 7134862565
Practice Location
Address1: 2209 ABBOTT MARTIN RD
Address2: STE 100
City: NASHVILLE
State: TN
PostalCode: 372152523
CountryCode: US
TelephoneNumber: 6155198960
FaxNumber: 7134862565
Other Information
ProviderEnumerationDate: 04/21/2014
LastUpdateDate: 06/02/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/02/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0800XR2125TXN Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
2084P0800X62771TNN Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
2084P0804XR2125TXN Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
2084P0804X62771TNN Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
2084P0804X11082TXY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry

No ID Information.


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