Individual provider Active NPI

Sara Elisabeth Tripps, D.C.

  • Chiropractor
  • Sullivan, IN
National Provider Identifier
1114942141
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002541A Issued in IN
Practice address
18 W Washington St
Sullivan, IN 47882-1524
Phone
(812) 699-9791
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08002541A IN Primary

Addresses

Primary practice location

18 W Washington St
Sullivan, IN 47882-1524

Mailing address

539 E Washington St
Sullivan, IN 47882-1624
Phone (812) 699-9791

Other practice location 1

777 N Wolfenberger St
Sullivan, IN 47882-7242
Phone (812) 647-6400

Other practice location 2

31 W Jackson St
Sullivan, IN 47882-1503
Phone (812) 647-6400

Other names 1

  • Sara Elisabeth Ingram Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111012000233 IN Practitioner - Chiropractic 3072535251 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

18 W Washington St
Sullivan, IN 47882-1524
Phone (812) 647-6400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08002541AINMDChiropractor
3125SCMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Erie Avenue Chiropractic Center Chiropractor Past Accepting new patients
Honest Healing Hands Chiropractic LLC Chiropractor Past Accepting new patients
Tripps Family Inc Chiropractor Past Accepting new patients
JL Medical Consultants PC Past Accepting new patients
DTL Enterprises PC Chiropractor Past Accepting new patients
Park Circle Chiropractic Center LLC Chiropractor PastSince Oct 3, 2005 Accepting new patients
Woodland Ave Medical Center PC Chiropractor Past Accepting new patients
Trips Chiropractic Chiropractor Past Accepting new patients

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1114942141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 E WASHINGTON ST",
            "city": "SULLIVAN",
            "state": "IN",
            "postal_code": "478821624",
            "telephone_number": "812-699-9791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 W WASHINGTON ST",
            "city": "SULLIVAN",
            "state": "IN",
            "postal_code": "478821524",
            "telephone_number": "812-699-9791"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "777 N WOLFENBERGER ST",
            "address_purpose": "LOCATION",
            "city": "SULLIVAN",
            "state": "IN",
            "postal_code": "478827242",
            "country_code": "US",
            "telephone_number": "812-647-6400",
            "fax_number": "800-971-7980",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "31 W Jackson St",
            "address_purpose": "LOCATION",
            "city": "Sullivan",
            "state": "IN",
            "postal_code": "478821503",
            "country_code": "US",
            "telephone_number": "812-647-6400",
            "fax_number": "800-971-7980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRIPPS",
        "first_name": "SARA",
        "middle_name": "ELISABETH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002541A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "INGRAM",
            "middle_name": "ELISABETH",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sullivan, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.