Jackie M Tripp MD PLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

JACKIE M TRIPP MD PLC

Practice address

5130 Linton Blvd
Suite C1
Delray Beach, FL 33484-6596

Phone

(561) 819-6888

Fax

(561) 819-5448

NPI assigned

Jul 17, 2006

Last updated

Aug 14, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jackie M Tripp, MDNPI 1659326544

Title

Manager

Phone

(561) 819-6888

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jackie M Tripp, M.D.

  • Dermatology Physician
  • Delray Beach, FL
  • NPI 1659326544
  Medicare reassignment Care Compare group NPD Authorized official
• Robb Elliott Wilentz, MD

  • Dermatopathology (Pathology) Physician
  • Aventura, FL
  • NPI 1033115209
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218672000000",
    "number": "1427076975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5130 LINTON BLVD",
            "address_2": "SUITE C1",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846596",
            "telephone_number": "561-819-6888",
            "fax_number": "561-819-5448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5130 LINTON BLVD",
            "address_2": "SUITE C1",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846596",
            "telephone_number": "561-819-6888",
            "fax_number": "561-819-5448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKIE M TRIPP MD PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2008-08-14",
        "status": "A",
        "authorized_official_last_name": "TRIPP",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "561-819-6888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ivanhoe Merlot Care Facility LLC
• Elise Jaacobi, LCSW
• Nadege Jacinth, LPTA-CLT
• Jed Anne Jacinto
• Jack Ressler
• Carly Jacobson, LMHC
• Ira Joel Jacobson, DPM
• Wendy Beth Jacobson, RPH
• Jennifer L Jacoby, LMHC
• Anais Julia Jafarieh

• Dermatology Physician in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.