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TEEJAY GRANT TRIPP DO NPI 1629308424


NPI Information

NPI: 1629308424
Provider Name: TEEJAY GRANT TRIPP, DO
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

PECOS Registration: Yes

Address:
203 FORT WADE RD UNIT 260
PONTE VEDRA, FL
ZIP 32081
Phone: (801) 821-2333
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Teejay Grant Tripp, DO is a neurology psychiatry neurology in Ponte Vedra, FL with 15 years of experience. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. Teejay Grant Tripp, DO NPI is 1629308424. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Graduation Year:2009

The provider's business location address is:

203 FORT WADE RD UNIT 260
PONTE VEDRA, FL
ZIP 32081-159
Phone: (801) 821-2333
Fax: (480) 210-0230

The NPI 1629308424 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Psychotherapy, 30 minutes (HCPCS:90833)

The enumeration date for this NPI number is 12/30/2009 and was last updated on 5/30/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0804XPsychiatry & NeurologyChild & Adolescent Psychiatry005662ARIZONANo
22084P0804XPsychiatry & NeurologyChild & Adolescent Psychiatry19551NEW HAMPSHIRENo
32084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryCL0066NEVADANo
42084N0400XPsychiatry & NeurologyNeurologyOS19270FLORIDAYes
52084P0800XPsychiatry & NeurologyPsychiatry11583541-1204UTAHNo
62084P0800XPsychiatry & NeurologyPsychiatryCDR.0000580COLORADONo
72084P0800XPsychiatry & NeurologyPsychiatry100970ALASKANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.