Individual provider Active NPI

Jessica Bedwell Rippy, AU.D.

  • Audiologist-Hearing Aid Fitter
  • Memphis, TN
National Provider Identifier
1144516741
Registry record updated Jan 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
6647 Issued in LA
Practice address
6133 Poplar Pike
Memphis, TN 38119-4707
Phone
(901) 761-9720
Fax
(901) 763-1253
NPI assigned
Jun 22, 2011
Last updated
Jan 24, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X A3587 MS
Audiologist-Hearing Aid Fitter 237600000X 6647 LA Primary

Addresses

Primary practice location

6133 Poplar Pike
Memphis, TN 38119-4707

Mailing address

6133 Poplar Pike
Memphis, TN 38119-4707
Phone (901) 761-9720

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130409000488 TN Practitioner - Qualified Audiologist 4385816479 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
University of South Alabama College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shea ClinicGroup PAC ID 3971525635, 7 clinicians

Practice addresses (Care Compare)

6133 Poplar Pike
Memphis, TN 38119-4707
Phone (901) 761-9720

Merit-based Incentive Payment System (MIPS)

Final score
89.26 of 100Reported as group
Quality
89.71
Improvement activities
40
Cost
77.91

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6647LAMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Shea Clinic CurrentSince Mar 5, 2013 Accepting new patients
Shea Clinic CurrentSince Mar 5, 2013 Accepting new patients
Gulf Coast Audiology, Inc. Past Accepting new patients
Gulf Coast Audiology, Inc Past Accepting new patients

Locations

6133 Poplar Pike
Memphis, TN 38119
Phone (901) 737-8571

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358985600000",
    "number": "1144516741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6133 POPLAR PIKE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381194707",
            "telephone_number": "901-761-9720",
            "fax_number": "901-763-1253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6133 POPLAR PIKE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381194707",
            "telephone_number": "901-761-9720",
            "fax_number": "901-763-1253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIPPY",
        "first_name": "JESSICA",
        "middle_name": "BEDWELL",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-22",
        "last_updated": "2013-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "MS",
            "license": "A3587",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "LA",
            "license": "6647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; 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.