Kristen Chippi, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901005016 Issued in MI

Practice address

5199 N Royal Dr
Traverse City, MI 49684-9201

Phone

(231) 935-8101

Fax

(231) 346-5926

NPI assigned

Sep 22, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Eric Bergstrom OD, PLLC

  dba Eye Clinics of Seattle - Roosevelt

  • Optometrist
  • Seattle, WA
  • NPI 1124289897
  Medicare reassignment NPD
• Ballard Eye Clinic PLLC

  dba Northwest Vision Clinic

  • Optometrist
  • Seattle, WA
  • NPI 1083219752
  NPD

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

{
    "created_epoch": "1474502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1164971966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 BOSTON ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981092319",
            "telephone_number": "206-282-8120",
            "fax_number": "206-282-8046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5199 N ROYAL DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496849201",
            "telephone_number": "231-935-8101",
            "fax_number": "231-346-5926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIPPI",
        "first_name": "KRISTEN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-22",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Juliana Chichester, PMHNP
• Erika Chick, CGC
• Child & Family Services of Northwestern Michigan, Inc.
• Lisa Chimner, MD
• Carlistie Jean Chingwa
• Chiropracther, PLLC
• Chiropractic Care Grand Traverse, PC
• Heather Marie Chisholm, DPT
• Michael Phillip Chisholm, DPT
• Choice Autism Center

• Optometrist in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.