Provider Demographics
NPI:1518919471
Name:RIPPA, JAMES (DC)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:RIPPA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2396 EDGEWOOD AVE N
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32254-1725
Mailing Address - Country:US
Mailing Address - Phone:904-781-2300
Mailing Address - Fax:904-781-3502
Practice Address - Street 1:2396 EDGEWOOD AVE N
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32254-1725
Practice Address - Country:US
Practice Address - Phone:904-781-2300
Practice Address - Fax:904-781-3502
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3031111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
5672041OtherFIRST HEALTH NETWORK
7006739OtherAETNA
MAY37110OtherBCBS OF MASSACHUSETTS
001906871-005OtherUNITED HEALTHCARE
796434OtherCONNECTICARE OF MA
4315902OtherCIGNA
692980OtherACN/HEALTH NEW ENGLAND
MAAA76065OtherHARVARD PILGRIM
V06569Medicare UPIN
7006739OtherAETNA