Connor Tripp, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6462 Issued in NC

Practice address

5726 Fayetteville Rd Ste 101
Durham, NC 27713-6296

Phone

(919) 237-3321

NPI assigned

Sep 6, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Nov 14, 2023 through Nov 14, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1662422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1356062715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5726 FAYETTEVILLE RD STE 101",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136296",
            "telephone_number": "910-787-1124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5726 FAYETTEVILLE RD STE 101",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136296",
            "telephone_number": "919-237-3321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIPP",
        "first_name": "CONNOR",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-06",
        "last_updated": "2023-11-07",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "6462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "http://192.168.1.59:5000/?dc=1632069845688#/signin",
            "affiliation": "N",
            "endpointDescription": "Private Practice Server",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5726 Fayetteville Rd Ste 101",
            "city": "Durham",
            "state": "NC",
            "country_code": "US",
            "postal_code": "277136296",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ashley Elizabeth Trice, MSW, P-LCSW
• Pierluigi Tricoci, MD
• Kimberly Trimble, M.D.
• Christalyn Trimilove
• Jane Vy Trinh, MD
• Helen Tripp, LPCA
• Rama C Tripuraneni, RPH
• Trisouth - Durham
• Triumph Enterprises Inc
• Triumph Enterprises Inc.

• Psychologist in Durham, NC
• Providers in Durham, NC by specialty
• Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.