Active NPIIndividual provider

Kathleen Fentress Tripp, PMHNP-BC

Nurse Practitioner, Psych/Mental Health in Long Island City, New York

NPI Number1306196795
Practice location
41-43 Crescent Street, Long Island City, NY 11101
Fax
—
Last updated
March 17, 2018

Kathleen Fentress Tripp is a Nurse Practitioner, Psych/Mental Health based in Long Island City, NY. Kathleen Fentress Tripp practices in Long Island City, NY and has the professional credentials of PMHNP-BC. The NPI Number for Kathleen Fentress Tripp is 1306196795 and holds a License No. 654113 (NY). The current practice location address for Kathleen Fentress Tripp is 41-43 Crescent Street, Long Island City, NY 11101 and can be reached out via phone at 718-784-2240.

Provider Profile Details

NPI Number
1306196795
Provider Name
Kathleen Fentress Tripp
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
41-43 Crescent Street, Long Island City, NY 11101
Phone Number
718-784-2240
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
No
Provider Enumeration Date
September 13, 2012
Last Update Date
March 17, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
41-43 Crescent Street
Long Island City, NY 11101
Zip
11101
Phone Number
718-784-2240
Long Island City, NY 11101Get directions →

Provider Business Mailing Address Details

Address
555 Bergen Ave
Jewish Child Care Association
Bronx, NY 10455-1368
City
Bronx
State
NY
Zip
10455-1368
Phone Number
718-742-8550
Fax Number
718-993-4345

License Information

License Number (1)
654113
License State (1)
NY
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
401518
License State (2)
NY
Taxonomy (2)
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kathleen Fentress Tripp, PMHNP-BC?

The NPI number of Kathleen Fentress Tripp, PMHNP-BC is 1306196795. It was assigned on September 13, 2012 and is currently active in the NPPES registry.

What is the specialty of Kathleen Fentress Tripp, PMHNP-BC?

Kathleen Fentress Tripp, PMHNP-BC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in NY under license number 654113.

Where does Kathleen Fentress Tripp, PMHNP-BC practice?

The practice location is 41-43 Crescent Street, Long Island City, NY 11101. The office can be reached at 718-784-2240 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1306196795 directly on the NPPES registry website.

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