Kathleen Fentress Tripp, PMHNP-BC - Nurse Practitioner in Long Island City, NY

Kathleen Fentress Tripp, PMHNP-BC is a Nurse Practitioner - Psychiatric/mental Health based in Long Island City, New York. Kathleen Fentress Tripp is licensed to practice in New York (license number 401518) and her current practice location is 41-43 Crescent Street, Long Island City, New York. She can be reached at her office (for appointments etc.) via phone at (718) 784-2240.

NPI number for Kathleen Fentress Tripp is 1306196795 and her current mailing address is 555 Bergen Ave, Jewish Child Care Association, Bronx, New York. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1306196795.

Contact Information

Kathleen Fentress Tripp, PMHNP-BC
41-43 Crescent Street,
Long Island City, NY 11101
(718) 784-2240
Not Available

Map and Direction




Provider's Profile

Full NameKathleen Fentress Tripp
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location41-43 Crescent Street, Long Island City, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1306196795
  • Provider Enumeration Date: 09/13/2012
  • Last Update Date: 03/17/2018

Medical Identifiers

Medical identifiers for Kathleen Fentress Tripp such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306196795NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 654113 (New York)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 401518 (New York)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kathleen Fentress Tripp is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kathleen Fentress Tripp, PMHNP-BC
555 Bergen Ave, Jewish Child Care Association,
Bronx, NY 10455-1368

Ph: (718) 742-8550
Kathleen Fentress Tripp, PMHNP-BC
41-43 Crescent Street,
Long Island City, NY 11101

Ph: (718) 784-2240

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