1427255116 NPI number — KRISTIN A KRIPPA M.A., LPA

Table of content: KRISTIN A KRIPPA M.A., LPA (NPI 1427255116)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427255116 NPI number — KRISTIN A KRIPPA M.A., LPA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KRIPPA
Provider First Name:
KRISTIN
Provider Middle Name:
A
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.A., LPA
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1427255116
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
130 IOWA LN STE 201
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CARY
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27511-4494
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
919-454-4450
Provider Business Mailing Address Fax Number:
206-237-4451

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
130 IOWA LN STE 201
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CARY
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27511-4494
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-454-4450
Provider Business Practice Location Address Fax Number:
206-237-4451
Provider Enumeration Date:
06/27/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103TC0700X , with the licence number:  1662 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 04567 . This is a "BCBS PROVIDER NUMBER" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com