Individual provider Active NPI

Rebecca A Rippetoe, CRNA

  • Certified Registered Nurse Anesthetist
  • Lexington, KY
National Provider Identifier
1881998813
Registry record updated Dec 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
3006775 Issued in KY
Practice address
150 N Eagle Creek Dr
Lexington, KY 40509-1805
Phone
(859) 967-5000
NPI assigned
Jan 5, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 3006775 KY Primary

Addresses

Primary practice location

150 N Eagle Creek Dr
Lexington, KY 40509-1805

Mailing address

425 Lewis Hargett Cir
Lexington, KY 40503-3590
Phone (859) 268-1030

Other identifiers 1

IdentifierTypeStateIssuer
7100147320MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110216000962 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 8426239955 Reassigns benefits to 6 organizations
I20230505000669 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 8426239955 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
3006775KYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Kentucky Anesthesia PSC CurrentSince Jan 5, 2011 Accepting new patients
Central Kentucky Anesthesia P.S.C. Nurse Anesthetist, Certified Registered CurrentSince Jan 5, 2011 Accepting new patients
Ams Northern Indiana LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2023 Accepting new patients
Danville Anesthesia Associates, LLP Nurse Anesthetist, Certified Registered CurrentSince Dec 18, 2017 Accepting new patients
Mid-South Anesthesia, PLLC Nurse Anesthetist, Certified Registered CurrentSince May 5, 2018 Accepting new patients
Memorial Hospital, Inc. Nurse Anesthetist, Certified Registered CurrentSince Jun 23, 2017 Accepting new patients
Memorial Hospital Inc. CurrentSince Jun 23, 2017 Accepting new patients
Environ Anesthesia, LLC. Nurse Anesthetist, Certified Registered CurrentSince Dec 16, 2016 Accepting new patients
Resource Anesthesia Cumberland Valley Inc Nurse Anesthetist, Certified Registered CurrentSince Jan 22, 2018 Accepting new patients
Sleepers Anesthesia Services, PLLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

1915 Lake Ave
Plymouth, IN 46563
Phone (219) 936-3181

616 E 13th St
Winamac, IN 46996
Phone (574) 946-2100

305 Estill St
Berea, KY 40403
Phone (859) 986-1415

275 Highway 770
Corbin, KY 40701
Phone (606) 526-7874

236 W Main St
Ste 202
Danville, KY 40422
Phone (859) 238-7746

217 S 3rd St
Danville, KY 40422
Phone (859) 239-1000

236 W Main St
Ste 200
Danville, KY 40422
Phone (859) 238-7746

150 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 267-9773

1740 Nicholasville Rd
Lexington, KY 40503
Phone (859) 260-6100

3480 Yorkshire Medical Park
Lexington, KY 40509
Phone (859) 303-8803

425 Lewis Hargett Cir
Lexington, KY 40503
Phone (606) 679-9322

2620 Wilhite Dr
Lexington, KY 40503
Phone (859) 278-6031

210 Marie Langdon Dr
Manchester, KY 40962
Phone (865) 985-7047

Networks

  • Optimum HealthCare HMO Network

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1417737600000",
    "number": "1881998813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 LEWIS HARGETT CIR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033590",
            "telephone_number": "859-268-1030",
            "fax_number": "859-269-4120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N EAGLE CREEK DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091805",
            "telephone_number": "859-967-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIPPETOE",
        "first_name": "REBECCA",
        "middle_name": "A",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-05",
        "last_updated": "2014-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "3006775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100147320",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.