Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael Tyrone Tippens, MMED

Individual provider Peer Specialist · NPI 1790280006

Michael Tyrone Tippens, MMED is a Peer Specialist in Baton Rouge, Louisiana. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

8326 Kelwood Ave
Baton Rouge, LA 70806-4803
Phone: (225) 478-9685
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1790280006
Entity typeIndividual (Type 1)
GenderMale
Credentials MMED
Sole proprietorNo
NPI enumeratedMarch 28, 2018
Last updated in NPPESMarch 19, 2020
Certification dateMarch 19, 2020

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