Active NPI
Renee Marie Triplet, DO
- Pediatric Critical Care Medicine Physician
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- A-2100-17
- Practice address
- 1100 Central Ave SE
Albuquerque, NM 87106-4930 - Phone
- (505) 841-1063
- Fax
- (505) 724-7042
- NPI assigned
- Jul 29, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatric Critical Care Medicine Physician | 2080P0203X | A-2100-17 | NM | Primary |
Addresses
Primary practice location
1100 Central Ave SE
Albuquerque, NM 87106-4930
Mailing address
27 Wyndmoor CT
Depew, NY 14043-4114
Other practice location 1
27 Wyndmoor Ct
Depew, NY 14043-4114
Phone (716) 684-8762
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Vincent Pediatric Subspecialties | Current | Accepting new patients | |
| St Vincent Pediatric Subspecialties | Pediatric Critical Care Medicine | Current | Accepting new patients |
Locations
3900 Washington Ave
Evansville, IN 47714
Phone (812) 485-7425
3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021
250 W 96th St
#520
Indianapolis, IN 46260
Phone (317) 583-3331
2001 W 86th St
Indianapolis, IN 46260
Phone (317) 338-3617
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Indianapolis, IN
- NPI 1013967736
-
- Pediatric Critical Care Medicine Physician
- Evansville, IN
- NPI 1851950224
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561593600000",
"number": "1023274131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 WYNDMOOR CT",
"city": "DEPEW",
"state": "NY",
"postal_code": "140434114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 CENTRAL AVE SE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871064930",
"telephone_number": "505-841-1063",
"fax_number": "505-724-7042"
}
],
"practiceLocations": [
{
"address_1": "27 Wyndmoor Ct",
"address_purpose": "LOCATION",
"city": "Depew",
"state": "NY",
"postal_code": "140434114",
"country_code": "US",
"telephone_number": "716-684-8762",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRIPLET",
"first_name": "RENEE",
"middle_name": "MARIE",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-29",
"last_updated": "2019-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "NM",
"license": "A-2100-17",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.