Active NPI
Lisa R Triplett, FNP
- Psychiatric/Mental Health Nurse Practitioner
- Medford, OR
National Provider Identifier
1861428708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 201403397-NP
- Practice address
- 140 South Holly Street
Medford, OR 97501 - Phone
- (541) 774-8200
- Fax
- (541) 774-7964
- NPI assigned
- Jun 23, 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 201403397-NP | OR | Primary |
Addresses
Primary practice location
140 South Holly Street
Medford, OR 97501
Mailing address
140 South Holly Street
Medford, OR 97501
Phone (541) 774-8200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200510070 | Medicaid | IN |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201403397-NP | OR | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419292800000",
"number": "1861428708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 SOUTH HOLLY STREET",
"city": "MEDFORD",
"state": "OR",
"postal_code": "97501",
"telephone_number": "541-774-8200",
"fax_number": "541-774-7964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 SOUTH HOLLY STREET",
"city": "MEDFORD",
"state": "OR",
"postal_code": "97501",
"telephone_number": "541-774-8200",
"fax_number": "541-774-7964"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRIPLETT",
"first_name": "LISA",
"middle_name": "R",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-23",
"last_updated": "2014-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OR",
"license": "201403397-NP",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200510070",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.