MARY TIBBE


Address: 100 Michigan St Ne, Grand Rapids, MI 49503-2560
Phone: 6165201135

MARY TIBBE (NPI# 1699328393) 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) 1699328393
Entity Type Individual
Full Name MARY TIBBE
Credential MSN RN CCRN-K AGCNS
Practice Address 100 Michigan St Ne
Grand Rapids
MI 49503-2560
Mailing Address 18901 W Kimball Rd
Pierson
MI 49339-9605
Practice Telephone 6165201135
Enumeration Date 2019-07-22
Last Update Date 2019-07-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 364SG0600X Clinical Nurse Specialist
Specialization: Gerontology
4704270663 MI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 100 MICHIGAN ST NE
City GRAND RAPIDS
State MI
Zip Code 49503-2560

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922001668 Surender Rajasekaran Anesthesiology 100 Michigan St Ne, Mc 117, Grand Rapids, MI 49503-2560 2005-05-26
1710587415 Mara S Brown Registered Nurse 100 Michigan St Ne, Grand Rapids, MI 49503-2560 2020-10-30
1033718044 Anh Thi Mai Huynh Student in an Organized Health Care Education/Training Program 100 Michigan St Ne, Grand Rapids, MI 49503-2560 2020-10-21
1427687201 Kayla Renee Smith Student in an Organized Health Care Education/Training Program 100 Michigan St Ne, Grand Rapids, MI 49503-2560 2020-04-03
1407487424 Jessica B Doorn Dietitian, Registered 100 Michigan St Ne, Grand Rapids, MI 49503-2560 2020-01-29
1649810391 Olivia Lauren Presnell Physician Assistant 100 Michigan St Ne, Grand Rapids, MI 49503-2560 2020-01-10
1316586381 Keith Minbiole Anesthesiologist Assistant 100 Michigan St Ne, Grand Rapids, MI 49503-2560 2019-12-23
1427697499 Alexander Linkner Anesthesiologist Assistant 100 Michigan St Ne, Grand Rapids, MI 49503-2560 2019-12-23
1619514593 Louise Mcwhirter Anesthesiology 100 Michigan St Ne, Grand Rapids, MI 49503-2560 2019-12-10
1316584915 Professional Treatment Solutions PC Anesthesiology 100 Michigan St Ne, Grand Rapids, MI 49503-2560 2019-12-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801496195 Airway Oxygen, Inc. Durable Medical Equipment & Medical Supplies Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 2020-10-27
1730707282 Adriana Molina-schmuker Counselor 901 Eastern Avenue Ne, Grand Rapids, MI 49503 2020-07-10
1477176949 Kimberly Buskirk Specialist 1131 Ionia Ava Nw, Grand Rapids, MI 49503 2020-05-19
1124647805 Jared Host Speech-Language Pathologist Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 2020-04-13
1265061378 Heather Gladfelter Student in an Organized Health Care Education/Training Program 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 2020-04-02
1194368647 Amy Jo Arends Nurse Practitioner 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 2019-10-28
1376185199 Beth Arce Occupational Therapist 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 2019-10-14
1295387256 Althea Ziolkowski Licensed Practical Nurse Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 2019-07-10
1790340719 Heather Anne Fox Occupational Therapist Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 2019-05-06
1184182883 April L Kaiserlian Social Worker 983 Spaulding Ave Ne, Ada, MI 49503 2019-03-12
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Taxonomy Information

Taxonomy Code 364SG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Gerontology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1851941116 Suzanne Leona Purvis Clinical Nurse Specialist 3601 W 13 Mile Rd # Mc305, Royal Oak, MI 48073-6712 2019-09-18
1174055362 Lilian Paciorkowski Clinical Nurse Specialist 4600 Investment Dr Ste 200, Troy, MI 48098-6375 2017-03-28
1558513226 Roberta Lee Kennedy Clinical Nurse Specialist 2700 Robert T. Longway Blvd, Suite A, Flint, MI 48503 2008-10-14
1700050531 Ann Holmgren Harris Clinical Nurse Specialist 17353 Hazel St, Suite 212, Spring Lake, MI 49456 2008-04-14
1861927295 Taylor Long Clinical Nurse Specialist 15855 19 Mile Rd, Clinton Twp, MI 48038-3504 2017-04-24
1093899569 Baddigam Family Psychiatric Associates Pllc Clinical Nurse Specialist 43211 Dalcoma Dr, Ste. 3, Clinton Township, MI 48038-6309 2006-10-24
1508886375 Erickson Health Medical Group of Michigan PC Clinical Nurse Specialist 41100 Fox Run, Novi, MI 48377-4804 2006-07-21

Competitor

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City GRAND RAPIDS
Zip Code 49503

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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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