NPIMap

Organization Active NPI

Destiny Ripley

  • Rehabilitation Practitioner
  • Suisun City, CA
National Provider Identifier
1457085821
Registry record updated Jul 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
Legal business name
DESTINY RIPLEY
Practice address
602 Woodlark Dr
Suisun City, CA 94585-2244
Phone
(707) 399-8927
NPI assigned
Jul 12, 2022
Last updated
Jul 31, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2022

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

Authorized official

Name
Biana Jones
Title
Program Administrator
Phone
(925) 389-9093

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Rehabilitation Practitioner 225400000X NU Primary

Addresses

Primary practice location

602 Woodlark Dr
Suisun City, CA 94585-2244

Mailing address

602 Woodlark Dr
Suisun City, CA 94585-2244
Phone (707) 399-8927

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659225600000",
    "number": "1457085821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 WOODLARK DR",
            "city": "SUISUN CITY",
            "state": "CA",
            "postal_code": "945852244",
            "telephone_number": "707-399-8927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 WOODLARK DR",
            "city": "SUISUN CITY",
            "state": "CA",
            "postal_code": "945852244",
            "telephone_number": "707-399-8927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTINY RIPLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-12",
        "last_updated": "2022-07-31",
        "certification_date": "2022-07-31",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "BIANA",
        "authorized_official_title_or_position": "PROGRAM ADMINISTRATOR",
        "authorized_official_telephone_number": "925-389-9093"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suisun City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2022; 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.