Active NPI
Kristin Denise Ripley, ATC, LMT
- Athletic Trainer
- Valparaiso, IN
National Provider Identifier
1114096476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 36001015A
- Practice address
- 2403 Campbell St
Valparaiso, IN 46385-2305 - Phone
- (574) 286-0859
- NPI assigned
- Nov 8, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 36001015A | IN | Primary |
Addresses
Primary practice location
2403 Campbell St
Valparaiso, IN 46385-2305
Mailing address
3902 Summit Dr
Valparaiso, IN 46383-1708
Phone (574) 286-0859
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36001015A | Other | IN | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36001015A | IN | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675900800000",
"number": "1114096476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3902 SUMMIT DR",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "463831708",
"telephone_number": "574-286-0859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2403 CAMPBELL ST",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "463852305",
"telephone_number": "574-286-0859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIPLEY",
"first_name": "KRISTIN",
"middle_name": "DENISE",
"name_prefix": "Mrs.",
"credential": "ATC, LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-08",
"last_updated": "2023-02-09",
"certification_date": "2023-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IN",
"license": "36001015A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "36001015A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Valparaiso, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.