Healthcare Provider Details

I. General information

NPI: 1063336212
Provider Name (Legal Business Name): ALEXIS RIPPLINGER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/08/2026
Last Update Date: 08/08/2026
Certification Date: 08/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13425 BELCHER RD S
LARGO FL
33771-4009
US

IV. Provider business mailing address

11750 110TH TER
LARGO FL
33778-3610
US

V. Phone/Fax

Practice location:
  • Phone: 727-223-9610
  • Fax:
Mailing address:
  • Phone: 813-470-0264
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number11049585
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: