MEDICARE: DANA WARREN HIPP M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	R2125	TX
2	2084P0800X	Psychiatry Physician	62771	TN
3	2084P0804X	Child & Adolescent Psychiatry Physician	R2125	TX
4	2084P0804X	Child & Adolescent Psychiatry Physician	62771	TN
5	390200000X	Student in an Organized Health Care Education/Training Program
6	2084P0804X	Child & Adolescent Psychiatry Physician	11082	TX

General Provider Information

NPI Number	:	1407276108
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANA WARREN HIPP M.D.

Provider Business Mailing Address
First Line	:	1211 GOODLOE DR
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37215-2523
Country	:	US
Telephone Number	:	615-200-2780
Fax Number	:	713-486-2565

Provider Business Practice Location Address
First Line	:	2209 ABBOTT MARTIN RD
Second Line	:	STE 100
City	:	NASHVILLE
State	:	TN
Zip	:	37215-2523
Country	:	US
Telephone Number	:	615-519-8960
Fax Number	:	713-486-2565

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/21/2014
Last Update Date	:	06/02/2021

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Directions to “ DANA WARREN HIPP M.D.” Practice Location

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