Active NPI
Jennifer Tripp
- Clinical Neuropsychologist
- Baltimore, MD
National Provider Identifier
1174027270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 6448
- Practice address
- 1708 W Rogers Ave
Baltimore, MD 21209-4545 - Phone
- (410) 578-8600
- NPI assigned
- Mar 22, 2018
- Last updated
- Aug 25, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 6448 | MD | Primary |
Addresses
Primary practice location
1708 W Rogers Ave
Baltimore, MD 21209-4545
Mailing address
1708 W Rogers Ave
Baltimore, MD 21209-4545
Phone (410) 578-8600
Other practice location 1
3351 42nd St
Sacramento, CA 95817-3721
Phone (510) 432-5778
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 |
|---|---|---|---|
| 6448 | MD | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hurley Medical Center | Past | Accepting new patients |
Organizations & group practices 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661385600000",
"number": "1174027270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1708 W ROGERS AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212094545",
"telephone_number": "410-578-8600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1708 W ROGERS AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212094545",
"telephone_number": "410-578-8600"
}
],
"practiceLocations": [
{
"address_1": "3351 42nd St",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958173721",
"country_code": "US",
"telephone_number": "510-432-5778",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRIPP",
"first_name": "JENNIFER",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-22",
"last_updated": "2022-08-25",
"certification_date": "2022-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "MD",
"license": "6448",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
- Triple Tees Inc (Trucare Pharmacy and Medical Equipment)
- Triplec L S Healthcare Excelling in Care
- Noah Triplett, PHD
- Patrick Triplett, M.D.
- Heidi Tripp, RN
- Trish Caruana PA
- Triumph Health & Wellness Center LLC
- Harsh K Trivedi, MD
- Thomas James Trobiano, MSN, RN, FNP-C
- Nicholas Drew Troeleman, RN,CNOR,RNFA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.