Provider Demographics
NPI:1801877378
Name:RIPPEY, RHONDA ELLEN (ARNP)
Entity type:Individual
Prefix:
First Name:RHONDA
Middle Name:ELLEN
Last Name:RIPPEY
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:RHONDA
Other - Middle Name:ELLEN
Other - Last Name:COATNEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1018 DUFF AVE
Mailing Address - Street 2:
Mailing Address - City:AMES
Mailing Address - State:IA
Mailing Address - Zip Code:50010-5740
Mailing Address - Country:US
Mailing Address - Phone:515-663-8621
Mailing Address - Fax:515-663-8620
Practice Address - Street 1:1018 DUFF AVE
Practice Address - Street 2:
Practice Address - City:AMES
Practice Address - State:IA
Practice Address - Zip Code:50010-5740
Practice Address - Country:US
Practice Address - Phone:515-663-8621
Practice Address - Fax:515-663-8620
Is Sole Proprietor?:No
Enumeration Date:2005-11-10
Last Update Date:2012-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA060787363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0423921Medicaid
IAI21879Medicare PIN
IAP10537Medicare UPIN