Organization Active NPI

Alder Brook Family Health P.C.

  • Family Medicine Physician
  • Essex Junction, VT
National Provider Identifier
1952332124
Registry record updated Mar 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0420007492 Issued in VT
Legal business name
ALDER BROOK FAMILY HEALTH P.C.
Practice address
8 Essex Way
Suite 201
Essex Junction, VT 05452-3425
Phone
(802) 872-7100
NPI assigned
Jul 6, 2006
Last updated
Mar 1, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2016

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

Authorized official

Name
Dr. Diane C. Rippa, M.D.NPI 1285669747
Title
Owner
Phone
(802) 872-7100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0420007492 VT Primary

Addresses

Primary practice location

8 Essex Way
Suite 201
Essex Junction, VT 05452-3425

Mailing address

8 Essex Way
Suite 201
Essex Junction, VT 05452-3425
Phone (802) 872-7100

Other identifiers 2

IdentifierTypeStateIssuer
1008436MedicaidVT
CJ8009OtherVTRAIL ROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

8 Essex Way
Ste 201
Essex Junction, VT 05452
Phone (802) 872-7100

Practitioners & affiliated clinicians

Practitioners 47

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 47

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456790400000",
    "number": "1952332124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 ESSEX WAY",
            "address_2": "SUITE 201",
            "city": "ESSEX JUNCTION",
            "state": "VT",
            "postal_code": "054523425",
            "telephone_number": "802-872-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 ESSEX WAY",
            "address_2": "SUITE 201",
            "city": "ESSEX JUNCTION",
            "state": "VT",
            "postal_code": "054523425",
            "telephone_number": "802-872-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALDER BROOK FAMILY HEALTH P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2016-03-01",
        "status": "A",
        "authorized_official_last_name": "RIPPA",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-872-7100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VT",
            "license": "0420007492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1008436",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "CJ8009",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Essex Junction, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.