Individual provider Active NPI

Elizabeth Ashley Pennington-Tripp, CNM

  • Advanced Practice Midwife
  • Clyde, NC
National Provider Identifier
1194344762
Registry record updated Dec 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
CNM812 Issued in NC
Practice address
35 Facility Dr
Clyde, NC 28721-9438
Phone
(828) 452-8462
NPI assigned
Apr 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024179146 VA
Advanced Practice Midwife 367A00000X CNM812 NC Primary

Addresses

Primary practice location

35 Facility Dr
Clyde, NC 28721-9438

Mailing address

35 Facility Dr
Clyde, NC 28721-9438

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211227000025 NC Practitioner - Certified Nurse Midwife (CNM) 8921425539 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
0024179146VAMDNurse Practitioner
CNM812NCMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Western Carolina Physician Practices LLC Nurse Practitioner CurrentSince Jan 1, 2022 Accepting new patients
DLP Western Carolina Physician Practices LLC CurrentSince Jan 1, 2022 Accepting new patients

Locations

35 Facility Dr
Clyde, NC 28721
Phone (828) 452-5042

98 Doctors Dr
Ste 200
Sylva, NC 28779
Phone (828) 586-8971

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Organizations & group practices 2

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": "1586736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639612800000",
    "number": "1194344762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 FACILITY DR",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "287219438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 FACILITY DR",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "287219438",
            "telephone_number": "828-452-8462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNINGTON-TRIPP",
        "first_name": "ELIZABETH",
        "middle_name": "ASHLEY",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-13",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024179146",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NC",
            "license": "CNM812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clyde, NC

Sources for this page

Verify at the official NPI Registry.