Active NPI
Adrienne Tripp, COTA
- Health Educator
- Renovo, PA
National Provider Identifier
1669730883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- License
- OP007212
- Practice address
- 208 10TH St
Renovo, PA 17764-1117 - Phone
- (570) 484-1361
- NPI assigned
- Apr 25, 2012
- Last updated
- Apr 25, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | OP007212 | PA | Primary |
Addresses
Primary practice location
208 10TH St
Renovo, PA 17764-1117
Mailing address
208 10TH Street
Renovo, PA 17764
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OP007212 | PA | MD | Health Educator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335312000000",
"number": "1669730883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 10TH STREET",
"city": "RENOVO",
"state": "PA",
"postal_code": "17764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 10TH ST",
"city": "RENOVO",
"state": "PA",
"postal_code": "177641117",
"telephone_number": "570-484-1361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRIPP",
"first_name": "ADRIENNE",
"credential": "COTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-25",
"last_updated": "2012-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "PA",
"license": "OP007212",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Renovo, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.