SHELLY RAE TIBKE


Address: 911 E 20th St, Ste 700, Sioux Falls, SD 57105-1049
Phone: 6053340393

SHELLY RAE TIBKE (NPI# 1487008686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487008686
Entity Type Individual
Full Name SHELLY RAE TIBKE
Credential CNP
Practice Address 911 E 20th St
Ste 700
Sioux Falls
SD 57105-1049
Practice Telephone 6053340393
Practice Fax Number 6053340393
Mailing Telephone 6053340393
Mailing Fax Number 6053340393
Enumeration Date 2016-04-14
Last Update Date 2016-06-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse R020920 SD Nursing Service Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
CP001053 SD Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 911 E 20TH ST
STE 700
City SIOUX FALLS
State SD
Zip Code 57105-1049

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972506939 Dakota Surgical Ltd Clinic/Center 911 E 20th St, Ste 300, Sioux Falls, SD 57105-1045 2005-05-24
1447507660 Dana J Buus Nurse Practitioner 911 E 20th St, Suite 405, Sioux Falls, SD 57105-1042 2012-08-07
1912267030 Oluma Yoseph Bushen Internal Medicine 911 E 20th St, Suite 509, Sioux Falls, SD 57105-1042 2012-05-23
1942572086 Trichelle Grace Petermann Nurse Practitioner 911 E 20th St, Ste 400, Sioux Falls, SD 57105-1042 2012-02-06
1770813651 Gwen Lynn Smith Physician Assistant 911 E 20th St, Ste 700, Sioux Falls, SD 57105-1049 2009-12-28
1578783213 Virginia K Trumbull Dietitian, Registered 911 E 20th St, Physicians Office Building, Suite 600, Sioux Falls, SD 57105-1042 2007-04-26
1093833840 Michael R. Puumala, M.d.,p.c. Specialist 911 E 20th St, Suite 400, Sioux Falls, SD 57105-1042 2007-03-27
1174647655 Mary E. Kinney Registered Nurse 911 E 20th St, Sioux Falls, SD 57105-1042 2007-03-19
1699818252 Delaina Patricia Sievers Physician Assistant 911 E 20th St, Suite 303, Sioux Falls, SD 57105-1042 2007-02-14
1821136219 Michael Shawn Bauer Surgery 911 E 20th St, Ste 700, Sioux Falls, SD 57105-1049 2007-02-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871117549 Ashlesha Ravindra Bagwe Student in an Organized Health Care Education/Training Program Pediatrics Residency Program, 1305 W 18th St, Rt 6364, Sioux Falls, SD 57105 2020-05-29
1306494489 Kelsey Elaine Kruse Counselor 3101 West 41st, Sioux Falls, SD 57105 2019-08-30
1902388341 Sarah Tacke Nurse Practitioner 1301 West 18th Street, Sioux Falls, SD 57105 2018-09-02
1235624727 Mahum Shahid Student in an Organized Health Care Education/Training Program 1400 W. 22nd St, Sioux Falls, SD 57105 2018-06-27
1942790126 Smitha Narayana Gowda Student in an Organized Health Care Education/Training Program 1400 22nd Street, Sioux Falls, SD 57105 2018-05-14
1326538554 Mali Elizabeth Teller Speech-Language Pathologist 2501 W. 26th Street, Sioux Falls, SD 57105 2018-05-14
1871081505 Abdelmohaymin Abdalla Abufatima Abdalla Student in an Organized Health Care Education/Training Program Usd-ssom-internal Medicine Residency, 1400 22nd Street, Sioux Falls, SD 57105 2018-04-27
1710474697 Moataz Ellithi Student in an Organized Health Care Education/Training Program 1400 W. 22nd St., Sioux Falls, SD 57105 2018-04-17
1366948663 Holly Ahlers Registered Nurse 2000 S. Summit Ave, Sioux Falls, Sd 57105, Sioux Falls, SD 57105 2018-04-04
1558864124 Darcy Lee Jensen Counselor 822 East 41st. Street, Suite 235, Souix Falls, SD 57105 2018-03-09
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922625854 Mindy Thompson Nurse Practitioner 2501 S Louis Ave, Sioux Falls, SD 57109-4601 2020-06-26
1518594134 Melissa Bader Nurse Practitioner 1112 S. Lake Ave, Suite 201, Sioux Falls, SD 57104 2020-03-24
1013567627 Kasandra Wheeler Nurse Practitioner 1309 W 17th St Ste 1, Sioux Falls, SD 57104-4663 2019-09-16
1902388341 Sarah Tacke Nurse Practitioner 1301 West 18th Street, Sioux Falls, SD 57105 2018-09-02
1679081350 Abby Jo Viereck Nurse Practitioner 2301 E 60th St N, Sioux Falls, SD 57104-0569 2018-01-17
1356851661 Alyssa Mae Welbig Nurse Practitioner 2315 W 57th St Ste 300, Sioux Falls, SD 57108-5163 2017-10-02
1023565645 Amanda Glanzer Nurse Practitioner 7701 W 65th St, Sioux Falls, SD 57106-8802 2016-09-01
1750737318 Steven Davis Nurse Practitioner 7231 W Chesapeake Ln, Sioux Falls, SD 57106-3842 2016-05-12
1609231943 Jena Burgess Nurse Practitioner 1417 S Cliff Ave Ste 300, Sioux Falls, SD 57105-1062 2015-12-30
1093154213 Jamie Kay Grant Nurse Practitioner 5009 S Louise Ave, Sioux Falls, SD 57108-2268 2013-06-20
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Competitor

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City SIOUX FALLS
Zip Code 57105

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Dataset Information

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.

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