KEVIN M. KRIPPNER (NPI# 1477576114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477576114 |
| Entity Type | Individual |
| Full Name | KEVIN M. KRIPPNER |
| Credential | PH.D. |
| Practice Address |
403 W Virginia Ave Normal IL 61761-3666 |
| Practice Telephone | 3092685547 |
| Practice Fax Number | 3092682913 |
| Mailing Telephone | 3092685547 |
| Mailing Fax Number | 3092682913 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2015-10-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
071004205 | IL | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
071004205 | IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD | 05732028 | 01 |
| Street Address |
403 W VIRGINIA AVE |
| City | NORMAL |
| State | IL |
| Zip Code | 61761-3666 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740207109 | Bromenn Physicians Management Corporation | Family Medicine | 403 W Virginia Ave, Normal, IL 61761-3666 | 2006-07-15 |
| 1639452139 | Brent Sylvester | Psychologist | 403 W Virginia Ave, Normal, IL 61761-3666 | 2011-09-21 |
| 1669798716 | Bryan J Denure | Counselor | 403 W Virginia Ave, Normal, IL 61761-3666 | 2010-04-14 |
| 1407172554 | Jody L Poultney | Social Worker | 403 W Virginia Ave, Normal, IL 61761-3666 | 2010-04-14 |
| 1417069881 | Faisal Ahmed | Psychiatry & Neurology | 403 W Virginia Ave, Normal, IL 61761-3666 | 2006-08-31 |
| 1144243882 | Jolie M. Hoffmann | Psychologist | 403 W Virginia Ave, Normal, IL 61761-3666 | 2006-07-25 |
| 1891718540 | Merlin R. Mather | Counselor | 403 W Virginia Ave, Normal, IL 61761-3666 | 2006-07-25 |
| 1215950969 | Lori A. Osborne | Social Worker | 403 W Virginia Ave, Normal, IL 61761-3666 | 2006-07-25 |
| 1487677100 | Carmen D. Chase | Psychiatry & Neurology | 403 W Virginia Ave, Normal, IL 61761-3666 | 2006-07-25 |
| 1639192354 | Scott Mccormick IIi | Psychiatry & Neurology | 403 W Virginia Ave, Normal, IL 61761-3666 | 2006-07-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629681796 | Brittany Nicole Mekley | Nurse Practitioner | 201 N. University, Normal, IL 61761 | 2020-08-28 |
| 1679108971 | Krystal Halliday | Occupational Therapist | 1815 N Towanda Barnes Rd, Normal, IL 61761 | 2020-03-06 |
| 1265915474 | Laine E Burek | Nurse Practitioner | 1765 Bradford Ln., Normal, IL 61761 | 2018-09-13 |
| 1801389986 | Ashley Michelle James | Specialist/Technologist | 347 S. University St, Normal, IL 61761 | 2018-06-12 |
| 1447750708 | Shelley R. Ruch | Specialist/Technologist, Other | 1604 Visa Drive, Ste 1, Normal, IL 61761 | 2018-02-13 |
| 1497275069 | Mclean County Nursing Home | Non-emergency Medical Transport (VAN) | 901 N. Main St, Normal, IL 61761 | 2017-06-23 |
| 1235673666 | Megan Threm | Registered Nurse | 900 Franklin Ave Community Health Care Clinic, Normal, IL 61761 | 2016-12-04 |
| 1437513553 | Tiesha Smith | Specialist | 1800 Rockingham Dr, Apt 1d, Normal, IL 61761 | 2016-04-06 |
| 1285031658 | New Day Recovery | Community/Behavioral Health | 402 Summit, Normal, IL 61761 | 2014-12-01 |
| 1174927701 | Alyssa Marie Bruck | Occupational Therapist | 700 N Walnut St, Normal, IL 61761 | 2014-10-10 |
| Find all providers in zip 61761 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902044688 | Robert Neil Lusk | Psychologist | 1100 Beech St., Bldg. 7, Normal, IL 61761 | 2009-02-03 |
| 1649493131 | Karen Ingrid Mark | Psychologist | 1100 N Beech St, Suite 10, Normal, IL 61761 | 2007-04-11 |
| 1770615502 | Illinois State University | Psychologist | 408 Fairchild Hall, Campus Box 4625, Normal, IL 61790 | 2007-03-09 |
| 1639452139 | Brent Sylvester | Psychologist | 403 W Virginia Ave, Normal, IL 61761-3666 | 2011-09-21 |
| 1134238264 | Christina M. Burchett | Psychologist | 211 Landmark Dr, Suite B4e, Normal, IL 61761-2160 | 2006-08-30 |
| 1144243882 | Jolie M. Hoffmann | Psychologist | 403 W Virginia Ave, Normal, IL 61761-3666 | 2006-07-25 |
| 1013937382 | Judy Ronan Woodburn | Psychologist | 403 W Virginia Ave, Normal, IL 61761-3666 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699166 | Jennifer Knuepfer, Psyd, Pllc | Psychologist | 4256 N Ravenswood Ave Ste 305, Chicago, IL 60613-1114 | 2020-11-03 |
| 1104426170 | Grace Giedgowd | Psychologist | 1640 W Division St Apt 205, Chicago, IL 60622-3939 | 2020-10-29 |
| 1417556283 | Kjp Alliance LLC | Psychologist | 16595 W Easton Ave Ste 1, Lincolnshire, IL 60069-2744 | 2020-10-22 |
| 1184223364 | Caroline Elisabeth Fulton | Psychologist | 1739 N Elston Ave, Chicago, IL 60642-1544 | 2020-10-20 |
| 1881293108 | Haley Michelle Sims | Psychologist | 65 E Wacker Pl Ste 300, Chicago, IL 60601-7203 | 2020-10-19 |
| 1083212005 | Amanda Michele Long | Psychologist | 20280 Governors Hwy Ste 105, Olympia Fields, IL 60461-1068 | 2020-10-12 |
| 1285231936 | Qianhui Zhang | Psychologist | 1225 W Morse Ave Apt 403, Chicago, IL 60626-5751 | 2020-10-06 |
| 1316544158 | Nancy Marie Picard | Psychologist | 4885 N Hermitage Ave, Chicago, IL 60640-4104 | 2020-10-05 |
| 1558978379 | Youngok Kim | Psychologist | 1260 Iroquois Ave Ste 204, Naperville, IL 60563-8548 | 2020-09-25 |
| 1861007049 | Heloisa Garman | Psychologist | 800 Elgin Rd Apt 1611, Evanston, IL 60201-5632 | 2020-09-14 |
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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.