Individual provider Active NPI

Jodi Ripka, APRN

  • Pediatric Nurse Practitioner
  • Holyoke, MA
National Provider Identifier
1013907179
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
RN217510 Issued in MA
Practice address
150 Lower Westfield Rd Ste 1
Holyoke, MA 01040-2676
Phone
(413) 536-2393
Fax
(413) 536-1087
NPI assigned
Oct 28, 2005
Last updated
Jul 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X RN217510 MA Primary

Addresses

Primary practice location

150 Lower Westfield Rd Ste 1
Holyoke, MA 01040-2676

Mailing address

150 Lower Westfield Rd Ste 1
Holyoke, MA 01040-2676
Phone (413) 536-2393

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
003109CTMDMarriage & Family Therapist
RN217510MAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Holyoke Medical Center, Inc. CurrentSince Feb 6, 2023 Accepting new patients
Pediatric Care Associates, P.C. Past Accepting new patients
Holyoke Pediatric Associates, LLP PastSince Jul 25, 2021 Accepting new patients

Locations

262 New Ludlow Rd
Chicopee, MA 01020
Phone (413) 535-4714

575 Beech St
Ste 402
Holyoke, MA 01040
Phone (413) 534-2820

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1013907179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 LOWER WESTFIELD RD STE 1",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010402676",
            "telephone_number": "413-536-2393",
            "fax_number": "413-536-1087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 LOWER WESTFIELD RD STE 1",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010402676",
            "telephone_number": "413-536-2393",
            "fax_number": "413-536-1087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIPKA",
        "first_name": "JODI",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-28",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MA",
            "license": "RN217510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holyoke, MA

Sources for this page

Verify at the official NPI Registry.