Individual provider Active NPI

Karla Sue Tripp, RN, MSN, LMT, LDHS

  • Nurse Massage Therapist (NMT)
  • Jackson, MI
National Provider Identifier
1588901235
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse Massage Therapist (NMT)Taxonomy code 163WM1400X
License
4704273211 Issued in MI
Practice address
2151 Ferguson Rd Ste 101
Jackson, MI 49203-5563
Phone
(517) 474-0993
NPI assigned
Jan 14, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered Nurse 163WA2000X 4704273211 MI
Registered Nurse 163W00000X 4704273211 MI
Case Management Registered Nurse 163WC0400X 4704273211 MI
Community Health Registered Nurse 163WC1500X 4704273211 MI
Continuing Education/Staff Development Registered Nurse 163WC1600X 4704273211 MI
Home Health Registered Nurse 163WH0200X 4704273211 MI
Nutrition Support Registered Nurse 163WN1003X 4704273211 MI
Hospice Registered Nurse 163WH1000X 4704273211 MI
Rehabilitation Registered Nurse 163WR0400X 4704273211 MI
Pain Management Registered Nurse 163WP0000X 4704273211 MI
Massage Therapist 225700000X 7501000642 MI
Nurse Massage Therapist (NMT) 163WM1400X 4704273211 MI Primary

Addresses

Primary practice location

2151 Ferguson Rd Ste 101
Jackson, MI 49203-5563

Mailing address

135 Edgewater Dr
Michigan Center, MI 49254-1416
Phone (906) 630-1050

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 Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
4704273211MIMDContinuing Education/Staff Development Registered Nurse
7501000642MIMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1358121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1588901235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 EDGEWATER DR",
            "city": "MICHIGAN CENTER",
            "state": "MI",
            "postal_code": "492541416",
            "telephone_number": "906-630-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 FERGUSON RD STE 101",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492035563",
            "telephone_number": "517-474-0993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIPP",
        "first_name": "KARLA",
        "middle_name": "SUE",
        "credential": "RN, MSN, LMT, LDHS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-14",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "MI",
            "license": "4704273211",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704273211",
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "MI",
            "license": "4704273211",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "MI",
            "license": "4704273211",
            "primary": false
        },
        {
            "code": "163WC1600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Continuing Education/Staff Development",
            "state": "MI",
            "license": "4704273211",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MI",
            "license": "4704273211",
            "primary": false
        },
        {
            "code": "163WN1003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Nutrition Support",
            "state": "MI",
            "license": "4704273211",
            "primary": false
        },
        {
            "code": "163WH1000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hospice",
            "state": "MI",
            "license": "4704273211",
            "primary": false
        },
        {
            "code": "163WR0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Rehabilitation",
            "state": "MI",
            "license": "4704273211",
            "primary": false
        },
        {
            "code": "163WP0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pain Management",
            "state": "MI",
            "license": "4704273211",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "7501000642",
            "primary": false
        },
        {
            "code": "163WM1400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Nurse Massage Therapist (NMT)",
            "state": "MI",
            "license": "4704273211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.