Individual provider Active NPI

Diane C. Rippa, M.D.

  • Family Medicine Physician
  • Essex Junction, VT
National Provider Identifier
1285669747
Registry record updated Feb 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0420007188 Issued in VT
Practice address
8 Essex Way
Suite 201
Essex Junction, VT 05452-3425
Phone
(802) 872-7100
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0420007188 VT Primary

Addresses

Primary practice location

8 Essex Way
Suite 201
Essex Junction, VT 05452-3425

Mailing address

8 Essex Way
Suite 201
Essex Junction, VT 05452-3425
Phone (802) 872-7100

Other identifiers 2

IdentifierTypeStateIssuer
080183941OtherVTRAIL ROAD MEDICARE
0005481MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041012000148 VT Practitioner - Family Practice 2062483555 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0420007188VTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Evergreen Family Health Partners Family Medicine CurrentSince Sep 4, 2018 Accepting new patients

Locations

8 Essex Way
Ste 201
Essex Junction, VT 05452
Phone (802) 872-7100

28 Park Ave
Williston, VT 05495
Phone (802) 878-1008

426 Industrial Ave
Ste 130
Williston, VT 05495
Phone (518) 593-7466

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.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456704000000",
    "number": "1285669747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 ESSEX WAY",
            "address_2": "SUITE 201",
            "city": "ESSEX JUNCTION",
            "state": "VT",
            "postal_code": "054523425",
            "telephone_number": "802-872-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 ESSEX WAY",
            "address_2": "SUITE 201",
            "city": "ESSEX JUNCTION",
            "state": "VT",
            "postal_code": "054523425",
            "telephone_number": "802-872-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIPPA",
        "first_name": "DIANE",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2016-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VT",
            "license": "0420007188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "080183941",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005481",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Essex Junction, VT

Sources for this page

Verify at the official NPI Registry.