MS. LYNNETTE F. TRIPP (NPI# 1386672848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386672848 |
| Entity Type | Individual |
| Full Name | MS. LYNNETTE F. TRIPP |
| Credential | N.P. |
| Practice Address |
3425 Coffee Rd Suite 2a Modesto CA 95355-1582 |
| Mailing Address |
600 Coffee Rd Modesto CA 95355-4201 |
| Practice Telephone | 2095249401 |
| Mailing Telephone | 2095216097 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2013-09-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
NP 9518 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3425 COFFEE RD SUITE 2A |
| City | MODESTO |
| State | CA |
| Zip Code | 95355-1582 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841226149 | Mieczyslaw J. Hetnal | Psychiatry & Neurology | 3425 Coffee Rd, Suite 2a, Modesto, CA 95355-1582 | 2006-06-25 |
| 1982201786 | Estephanie Lua De La Torre | Behavior Technician | 3425 Coffee Rd, Suit C2, Modesto, CA 95355-1582 | 2020-10-05 |
| 1912514530 | Jamie Matasci | Behavior Technician | 3425 Coffee Rd, Modesto, CA 95355-1582 | 2020-09-28 |
| 1871106427 | Sylvia Gonzalez | Behavior Technician | 3425 Coffee Rd, Modesto, CA 95355-1582 | 2020-08-24 |
| 1801427554 | Maya Pearce | Behavior Technician | 3425 Coffee Rd, Modesto, CA 95355-1582 | 2020-01-31 |
| 1376914697 | Gretchen Wenaas Arian | Psychologist | 3425 Coffee Rd, Suite 2a, Modesto, CA 95355-1582 | 2015-10-13 |
| 1881083194 | Loren Lay | Counselor | 3425 Coffee Rd, Modesto, CA 95355-1582 | 2015-01-10 |
| 1700289816 | Lori Marie Nice | Behavioral Analyst | 3425 Coffee Rd, Modesto, CA 95355 | 2014-10-02 |
| 1831453794 | Ayesha Siddiqua | Psychiatry & Neurology | 3425 Coffee Rd, Suite 2a, Modesto, CA 95355-1582 | 2012-06-26 |
| 1306044342 | Lindsay Marie Cunha | Psychologist | 3425 Coffee Rd, Suite 2a, Modesto, CA 95355-1582 | 2007-07-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982211793 | I To I LLC | Optometrist | 3401 Oakdale Rd, Ste 525, Modesto, CA 95355 | 2020-09-25 |
| 1205443116 | Altwal and Shelat Dds Inc | Dentist | 1317 Oakdale Road, Suite 310, Modesto, CA 95355 | 2020-09-24 |
| 1184255911 | Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation | Clinic/Center | 3401 Oakdale Road, Suite 505, Modesto, CA 95355 | 2020-01-30 |
| 1487133856 | Natalie Vargas | Behavior Technician | 1317 Oakdale Road Suite 610, Modesto, CA 95355 | 2018-08-07 |
| 1871079152 | Jill H Fusia | Dietitian, Registered | 1404 Cordero Court, Modesto, CA 95355 | 2018-07-19 |
| 1043727514 | Emily Lauren Schaefer | Behavioral Analyst | 3425 Coffee Rd Ste C2, Modesto, CA 95355 | 2018-01-05 |
| 1376083691 | Hari Gnanasekeram, PC | Technician, Cardiology | 1303 Mable Avenu, Modesto, CA 95355 | 2017-03-06 |
| 1598139891 | Encompass Health Rehabilitation Hospital of Modesto, LLC | Rehabilitation Hospital | 1303 Mable Avenue, Modesto, CA 95355 | 2015-11-24 |
| 1013387844 | Diana Faith Kigenyi | Social Worker | 1225 Oakdale Road, Modesto, CA 95355 | 2015-10-06 |
| 1437530672 | Tzu Yi Wei | Acupuncturist | 2209 Coffee Road, Suite A, Modesto, CA 95355 | 2015-06-12 |
| Find all providers in zip 95355 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316968654 | Patricia E Conteh | Nurse Practitioner | 1208 9th St, Modesto, CA 95354-0713 | 2006-07-22 |
| 1215069307 | Maureen Patricia Mckibban | Nurse Practitioner | 1400 K St, Modesto, CA 95354-1018 | 2007-03-12 |
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| 1477154573 | Marcus Jang | Nurse Practitioner | 1130 E Colorado St Apt 214, Glendale, CA 91205-2092 | 2020-11-04 |
| 1033718580 | John Sylvanus Allieu Sr. | Nurse Practitioner | 2672 Merganser Ct, Los Banos, CA 93635-9473 | 2020-10-25 |
| 1316546930 | Chika U Oguagha | Nurse Practitioner | 16240 Carmine St, Fontana, CA 92336-1481 | 2020-10-23 |
| 1215534888 | Rosa Maria Aguero | Nurse Practitioner | 9841 Alburtis Ave Unit 29, Santa Fe Springs, CA 90670-3264 | 2020-10-06 |
| 1134726995 | Margarita Maghtesyan | Nurse Practitioner | 20251 Ventura Blvd Ste A, Woodland Hills, CA 91364-2564 | 2020-10-05 |
| 1043827140 | April Lopez Ortiz | Nurse Practitioner | 500 W Ashland Ct, Visalia, CA 93277-6609 | 2020-09-23 |
| 1477167666 | David Joseph Russell | Nurse Practitioner | 17846 Glenwood Rd, Manteca, CA 95336-9521 | 2020-09-03 |
| 1194339382 | Albert Liu | Nurse Practitioner | 43559 Southerland Way, Fremont, CA 94539-5931 | 2020-09-03 |
| 1407469554 | Andre Alexandrian | Nurse Practitioner | 1606 Winona Ave, Burbank, CA 91504-2823 | 2020-08-28 |
| 1790398238 | Heather Richardson | Nurse Practitioner | 112 S Park St Ste 1, San Francisco, CA 94107-1809 | 2020-08-25 |
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| 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.