Provider Demographics
NPI:1407276108
Name:HIPP, DANA WARREN (MD)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:WARREN
Last Name:HIPP
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1211 GOODLOE DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-2523
Mailing Address - Country:US
Mailing Address - Phone:615-200-2780
Mailing Address - Fax:713-486-2565
Practice Address - Street 1:2209 ABBOTT MARTIN RD
Practice Address - Street 2:STE 100
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37215-2523
Practice Address - Country:US
Practice Address - Phone:615-519-8960
Practice Address - Fax:713-486-2565
Is Sole Proprietor?:No
Enumeration Date:2014-04-21
Last Update Date:2021-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR21252084P0800X, 2084P0804X
TN627712084P0800X, 2084P0804X
390200000X
TX110822084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program