Active NPI
Kevin Michael Trippe, ARNP
- Gerontology Nurse Practitioner
- Burien, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- AP61072776
- Practice address
- 16251 Sylvester Rd SW
Burien, WA 98166-3017 - Phone
- (253) 426-6341
- Fax
- (253) 426-6344
- NPI assigned
- Aug 17, 2020
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP61072776 | WA | |
| Gerontology Nurse Practitioner | 363LG0600X | AP61072776 | WA | Primary |
Addresses
Primary practice location
16251 Sylvester Rd SW
Burien, WA 98166-3017
Mailing address
16251 Sylvester Rd SW
Burien, WA 98166-3017
Phone (253) 426-6341
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2165346 | Medicaid | WA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ktrippe646122@fhsce.catholichealth.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9801 Frontier Ave SE
Snoqualmie, WA 98065-5200
Phone (425) 831-2313
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP61072776 | WA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Public Hospital District No 4 King County Washington | Current | Accepting new patients | |
| Public Hospital District No 4 King County Washington | Current | Accepting new patients | |
| Public Hospital District No 4, King County Wa | Past | Accepting new patients |
Locations
9801 Frontier Ave SE
Snoqualmie, WA 98065
Phone (425) 831-2300
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 and National Provider Directory roles.
-
dba Snoqualmie Valley Hospital
- Critical Access Hospital
- Snoqualmie, WA
- NPI 1902846546
-
dba Snoqualmie Valley Health Clinic
- Rural Health Clinic/Center
- Snoqualmie, WA
- NPI 1558869289
-
dba Public Hospital District No 4 Clinic
- Family Medicine Physician
- Snoqualmie, WA
- NPI 1144432634
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Snoqualmie Valley Hospital
- Medicare Defined Swing Bed Hospital Unit
- Snoqualmie, WA
- NPI 1194929471
Nursing home
-
dba Snoqualmie Valley Hospital
- Critical Access Hospital
- Snoqualmie, WA
- NPI 1902846546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608163200000",
"number": "1033721667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16251 SYLVESTER RD SW",
"city": "BURIEN",
"state": "WA",
"postal_code": "981663017",
"telephone_number": "253-426-6341",
"fax_number": "253-426-6344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16251 SYLVESTER RD SW",
"city": "BURIEN",
"state": "WA",
"postal_code": "981663017",
"telephone_number": "253-426-6341",
"fax_number": "253-426-6344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRIPPE",
"first_name": "KEVIN",
"middle_name": "MICHAEL",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-17",
"last_updated": "2020-12-17",
"certification_date": "2020-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP61072776",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "WA",
"license": "AP61072776",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2165346",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ktrippe646122@fhsce.catholichealth.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "16251 Sylvester Rd SW",
"city": "Burien",
"state": "WA",
"country_code": "US",
"postal_code": "981663017",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Burien, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.