Active NPI
Diane C. Rippa, M.D.
- Family Medicine Physician
- Essex Junction, VT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0420007188
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080183941 | Other | VT | RAIL ROAD MEDICARE |
| 0005481 | Medicaid | VT |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0420007188 | VT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evergreen Family Health Partners | Family Medicine | Current | 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.
-
- Family Medicine Physician
- Williston, VT
- NPI 1588790562
-
- Family Medicine Physician
- Essex Junction, VT
- NPI 1952332124
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2016; 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.