Provider Demographics
NPI:1427039742
Name:PIPKIN, KAREN M (CRNP)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:M
Last Name:PIPKIN
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 HOSPITAL DR
Mailing Address - Street 2:
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21061-5884
Mailing Address - Country:US
Mailing Address - Phone:410-768-5555
Mailing Address - Fax:410-768-5835
Practice Address - Street 1:200 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-5884
Practice Address - Country:US
Practice Address - Phone:410-768-5555
Practice Address - Fax:410-768-5835
Is Sole Proprietor?:No
Enumeration Date:2005-11-14
Last Update Date:2012-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR093733363L00000X, 363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCD3800009OtherBCBS
MD400105200Medicaid
MD69768207OtherBCBS
DCW8490004OtherBCBS
MD697682-09OtherBCBS
MD69768206OtherBCBS
DCJ4570010OtherBCBS
MD69768207OtherBCBS
DCD3800009OtherBCBS
S83885Medicare UPIN
MD143618YBFHMedicare PIN
DCJ4570010OtherBCBS
DCW8490004OtherBCBS