Active NPI
James Barrett Tripp, PA
- Physician Assistant
- Golden, CO
National Provider Identifier
1669776670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 3125
- Practice address
- 1607 1/2 Washington Ave
Golden, CO 80401-2396 - Phone
- (720) 384-9091
- NPI assigned
- Jan 5, 2011
- Last updated
- Jan 5, 2011
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 3125 | CO | Primary |
Addresses
Primary practice location
1607 1/2 Washington Ave
Golden, CO 80401-2396
Mailing address
1607 1/2 Washington Ave
Golden, CO 80401-2396
Phone (720) 384-9091
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3125 | CO | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| U S Health Dept of Health & Human Services | Current | Accepting new patients | |
| U S Health Dept of Health & Human Services | Current | Accepting new patients |
Locations
669 Agency Main St
Harlem, MT 59526
Phone (406) 353-3100
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Lodge Grass Clinic
- Critical Access Hospital
- Lodge Grass, MT
- NPI 1750410395
-
- General Acute Care Hospital
- Browning, MT
- NPI 1861409955
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294185600000",
"number": "1669776670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1607 1/2 WASHINGTON AVE",
"city": "GOLDEN",
"state": "CO",
"postal_code": "804012396",
"telephone_number": "720-384-9091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1607 1/2 WASHINGTON AVE",
"city": "GOLDEN",
"state": "CO",
"postal_code": "804012396",
"telephone_number": "720-384-9091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRIPP",
"first_name": "JAMES",
"middle_name": "BARRETT",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-01-05",
"last_updated": "2011-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "3125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Golden, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.