MRS. PENNY C TRIPP (NPI# 1033451042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033451042 |
| Entity Type | Individual |
| Full Name | MRS. PENNY C TRIPP |
| Credential | CPED |
| Practice Address |
1025 Wh Smith Blvd Suite 108 Greenville NC 27834-5052 |
| Practice Telephone | 2522152215 |
| Practice Fax Number | 2522152216 |
| Mailing Telephone | 2522152215 |
| Mailing Fax Number | 2522152216 |
| Enumeration Date | 2013-03-18 |
| Last Update Date | 2013-05-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224L00000X | Pedorthist | C50033 | MD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7795578 | 05 |
| Street Address |
1025 WH SMITH BLVD SUITE 108 |
| City | GREENVILLE |
| State | NC |
| Zip Code | 27834-5052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790736379 | Orthotics & Prosthetics East Inc | Durable Medical Equipment & Medical Supplies | 1025 Wh Smith Blvd, Suite 108, Greenville, NC 27834-5052 | 2006-05-16 |
| 1912396052 | Garry Ogilvie | Orthotist | 1025 Wh Smith Blvd, Suite 108, Greenville, NC 27834-5199 | 2015-01-13 |
| 1306163860 | Randy L Daniel | Orthotist | 1025 Wh Smith Blvd, Suite 108, Greenville, NC 27834-5052 | 2010-04-23 |
| 1689798522 | Timothy Bruce Foster | Orthotist | 1025 Wh Smith Blvd, Suite 108, Greenville, NC 27834-5052 | 2007-03-17 |
| 1831200757 | Myriam M Daniel | Internal Medicine | 1025 Wh Smith Blvd, 106, Greenville, NC 27834-5199 | 2006-08-31 |
| 1417994500 | Richard Shane Coltrain | Orthotist | 1025 Wh Smith Blvd, Suite 108, Greenville, NC 27834-5052 | 2006-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841801255 | Nicholas Mcarthur Bennett | Day Training, Developmentally Disabled Services | 302 C, Greenville, NC 27834 | 2020-08-11 |
| 1275150245 | Shelby Renee Jones | Student in an Organized Health Care Education/Training Program | East Carolina University College of Nursing, 600 Moye Blvd, Greenville, NC 27834 | 2020-06-25 |
| 1194347138 | Soban Ahmad | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd., Vmc Ma Room 350. Internal Medicine Resi, Mailstop #734, Greenville, NC 27834 | 2020-05-13 |
| 1427687789 | Brandon Allen Yates | Student in an Organized Health Care Education/Training Program | 435 Clinic Drive, Greenville, NC 27834 | 2020-04-07 |
| 1144854407 | Kristen Springer Dreyfus | Marriage & Family Therapist | 2609 West Arlington Blvd Suite 106, Greenville, NC 27834 | 2020-02-26 |
| 1861038606 | Southern Surgical Outpatient Surgery Center, Pa | Clinic/Center | 2457 Emerald Place, Greenville, NC 27834 | 2019-11-26 |
| 1003460569 | Shaun Fitzpatrick | Nurse Practitioner | Physicians East, Pa 1850 W. Arlington Blvd., Greenville, NC 27834 | 2019-08-01 |
| 1649831496 | Katherine Salome Ross | Genetic Counselor, MS | 524 Moye Blvd, Greenville, NC 27834 | 2019-06-24 |
| 1477011880 | Lauren Bethune Scroggs | Counselor | 2150 West 5th Street, Health Sciences Building Mailstop 688, Greenville, NC 27834 | 2019-03-05 |
| 1669998001 | Idella's Care Home | Community/Behavioral Health | 2912 Lee Ct # 9a, Greenville, NC 27834 | 2017-08-17 |
| Find all providers in zip 27834 | ||||
| Taxonomy Code | 224L00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Pedorthist |
| An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices. |
| Notes: Source: National Uniform Claim Committee [7/1/2010: new] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235694704 | John Savel Deguzman | Pedorthist | 3206 Heritage Trade Dr Ste 114, Wake Forest, NC 27587-4487 | 2019-02-08 |
| 1548626252 | Advanced Orthopedic Products & Services, Inc. | Pedorthist | 2708 Wooten Blvd Sw, Suite B, Wilson, NC 27893-4428 | 2016-01-11 |
| 1497935464 | G Martin Edwards | Pedorthist | 54 Singing Pines Dr, Candler, NC 28715-9634 | 2007-11-07 |
| 1043780703 | Steven Daniel Fletcher | Pedorthist | 443 Daniels St, Raleigh, NC 27605-1359 | 2018-11-26 |
| 1356899843 | Charles Richard Follette | Pedorthist | 120 E Kingston Ave, Charlotte, NC 28203-4742 | 2016-09-14 |
| 1487089116 | Karen H Rose | Pedorthist | 309-b Nash St W, Wilson, NC 27893 | 2013-09-12 |
| 1043550148 | James Godfrey Mclelland Jr. | Pedorthist | 119 W Broad St, Statesville, NC 28677-5257 | 2013-02-26 |
| 1780669234 | Donald Earl Griffin | Pedorthist | 3010 Maplewood Ave, Suite 116, Winston Salem, NC 27103-4019 | 2005-12-07 |
| City | GREENVILLE |
| Zip Code | 27834 |
Please comment or provide details below to improve the information on MRS. PENNY C TRIPP.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.