Individual provider Active NPI

Autumn L Triplett, APRN

  • Family Nurse Practitioner
  • Hopkinsville, KY
National Provider Identifier
1235439183
Registry record updated Oct 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3006681 Issued in KY
Practice address
111 Derrick PL
Hopkinsville, KY 42240-1325
Phone
(270) 874-2629
Fax
(270) 874-2774
NPI assigned
Oct 26, 2010
Last updated
Oct 3, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2018

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 3006681 KY
Family Nurse Practitioner 363LF0000X 3006681 KY Primary

Addresses

Primary practice location

111 Derrick PL
Hopkinsville, KY 42240-1325

Mailing address

111 Derrick PL
Hopkinsville, KY 42240-1325
Phone (270) 874-2629

Other identifiers 3

IdentifierTypeStateIssuer
P00915985OtherKYRR MEDICARE
000000690860OtherKYANTHEM
7100141610MedicaidKY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110125000209 KY Practitioner - Nurse Practitioner 8224217112 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

111 Derrick PL
Hopkinsville, KY 42240-1325
Phone (270) 874-2629

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3006681KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tripco Medical LLC Family CurrentSince Mar 1, 2017 Accepting new patients
Emergency Physicians of Hopkinsville PLLC Nurse Practitioner Past Accepting new patients

Locations

111 Derrick Pl
Hopkinsville, KY 42240
Phone (270) 874-2629

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1288051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538524800000",
    "number": "1235439183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 DERRICK PL",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422401325",
            "telephone_number": "270-874-2629",
            "fax_number": "270-874-2774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 DERRICK PL",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422401325",
            "telephone_number": "270-874-2629",
            "fax_number": "270-874-2774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIPLETT",
        "first_name": "AUTUMN",
        "middle_name": "L",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-26",
        "last_updated": "2018-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3006681",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3006681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00915985",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000690860",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100141610",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopkinsville, KY

Sources for this page

Verify at the official NPI Registry.