MARY TIBBE (NPI# 1699328393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
Street Address |
100 MICHIGAN ST NE |
City | GRAND RAPIDS |
State | MI |
Zip Code | 49503-2560 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 49503 |
Taxonomy Code | 364SG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Clinical Nurse Specialist |
Specialization | Gerontology |
Definition to come... |
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 |
City | GRAND RAPIDS |
Zip Code | 49503 |
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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.