Individual provider Active NPI

Kristin A Krippa, M.A., LPA

  • Clinical Psychologist
  • Cary, NC
National Provider Identifier
1427255116
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1662 Issued in NC
Practice address
130 Iowa LN Ste 201
Cary, NC 27511-4494
Phone
(919) 454-4450
Fax
(206) 237-4451
NPI assigned
Jun 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1662 NC Primary

Addresses

Primary practice location

130 Iowa LN Ste 201
Cary, NC 27511-4494

Mailing address

130 Iowa LN Ste 201
Cary, NC 27511-4494
Phone (919) 454-4450

Other identifiers 1

IdentifierTypeStateIssuer
04567OtherNCBCBS PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
1662NCMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kristin Krippa Consulting, PLLC CurrentSince Aug 23, 2020 Accepting new patients

Locations

200 East St
Pittsboro, NC 27312
Phone (919) 544-4450

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427255116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 IOWA LN STE 201",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275114494",
            "telephone_number": "919-454-4450",
            "fax_number": "206-237-4451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 IOWA LN STE 201",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275114494",
            "telephone_number": "919-454-4450",
            "fax_number": "206-237-4451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIPPA",
        "first_name": "KRISTIN",
        "middle_name": "A",
        "credential": "M.A., LPA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "1662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "04567",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.