Healthcare Provider Details

I. General information

NPI: 1164355582
Provider Name (Legal Business Name): STEVEN ANDREW SHIPP DNP, CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 WERNER ST
HOT SPRINGS AR
71913-6406
US

IV. Provider business mailing address

170 LOYD LN
HOT SPRINGS AR
71913-8468
US

V. Phone/Fax

Practice location:
  • Phone: 501-622-1000
  • Fax:
Mailing address:
  • Phone: 501-208-6019
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number121807
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: