Active NPI
Shanta Yvette Tripp, RN
- Registered Nurse
- Atlanta, GA
National Provider Identifier
1720150378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN170105
- Practice address
- 151 Ellis Street
Care Building
Atlanta, GA 30303 - Phone
- (404) 730-4024
- NPI assigned
- Nov 15, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN170105 | GA | Primary |
Addresses
Primary practice location
151 Ellis Street
Care Building
Atlanta, GA 30303
Mailing address
99 Jesse Hill Jr Drive SE
Room 402 Aldredge Health Center
Atlanta, GA 30303
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN170105 | GA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720150378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 JESSE HILL JR DRIVE SE",
"address_2": "ROOM 402 ALDREDGE HEALTH CENTER",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 ELLIS STREET",
"address_2": "CARE BUILDING",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30303",
"telephone_number": "404-730-4024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRIPP",
"first_name": "SHANTA",
"middle_name": "YVETTE",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN170105",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
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.