Individual provider Active NPI

James Vale Rippy Jr., AU.D.

  • Audiologist
  • Little Rock, AR
National Provider Identifier
1124298641
Registry record updated Mar 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
44 Issued in AR
Practice address
10310 W Markham St Ste 207
Little Rock, AR 72205-1579
Phone
(501) 224-6910
Fax
(866) 483-2873
NPI assigned
Mar 12, 2008
Last updated
Mar 2, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 44 AR Primary

Addresses

Primary practice location

10310 W Markham St Ste 207
Little Rock, AR 72205-1579

Mailing address

10310 W Markham St Ste 207
Affiliated Audiology Center, Inc.
Little Rock, AR 72205-1579
Phone (501) 224-6910

Other identifiers 2

IdentifierTypeStateIssuer
1659494136OtherARCLINIC NPI NUMBER
1124298641MedicaidAR

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
44ARMDAudiologist

NPI Registry JSON

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

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425254400000",
    "number": "1124298641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10310 W MARKHAM ST STE 207",
            "address_2": "AFFILIATED AUDIOLOGY CENTER, INC.",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722051579",
            "telephone_number": "501-224-6910",
            "fax_number": "866-483-2873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10310 W MARKHAM ST STE 207",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722051579",
            "telephone_number": "501-224-6910",
            "fax_number": "866-483-2873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIPPY",
        "first_name": "JAMES",
        "middle_name": "VALE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-12",
        "last_updated": "2015-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AR",
            "license": "44",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINIC NPI NUMBER",
            "identifier": "1659494136",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124298641",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.