JILL TIBKE


Address: 19550 E 39th St S, Ste. 210, Independence, MO 64057-2303
Phone: 8164789071

JILL TIBKE (NPI# 1902101934) 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) 1902101934
Entity Type Individual
Full Name JILL TIBKE
Credential N.P.
Practice Address 19550 E 39th St S
Ste. 210
Independence
MO 64057-2303
Mailing Address 3901 Rainbow Blvd
Suite G600
Kansas City
KS 66160-8500
Practice Telephone 8164789071
Mailing Telephone 9135889449
Mailing Fax Number 9139457453
Enumeration Date 2011-01-23
Last Update Date 2015-06-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
53-75056-031 KS Physician Assistants & Advanced Practice Nursing Providers
N 363LA2200X Nurse Practitioner
Specialization: Adult Health
2001023168 MO Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 19550 E 39TH ST S
STE. 210
City INDEPENDENCE
State MO
Zip Code 64057-2303

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225031909 Nathan T. Wegner Specialist 19550 E 39th St S, Suite 310, Independence, MO 64057-2303 2005-05-24
1013451558 Courtney Adams Physician Assistant 19550 E 39th St S, Ste 410, Independence, MO 64057-2358 2016-12-16
1154878122 Long and Associates Pain Therapy Inc General Practice 19550 E 39th St S, Suite 235, Independence, MO 64057-2358 2016-09-07
1952755340 Christina Turner Nurse Practitioner 19550 E 39th St S, Suite 220, Independence, MO 64057-2358 2016-04-21
1417301615 Allyson Marie Williams Nurse Practitioner 19550 E 39th St S, Ste 410, Independence, MO 64057-2358 2016-04-14
1962860684 Melody L Alexander Nurse Practitioner 19550 E 39th St S, Suite 315, Independence, MO 64057-2358 2016-02-09
1124492608 Tracy Giese Nurse Practitioner 19550 E 39th St S, Suite 245, Independence, MO 64057-2358 2015-11-20
1356733638 Carma Elizabeth Ball Nurse Practitioner 19550 E 39th St S, Suite 200, Independence, MO 64057-2303 2015-02-24
1508257544 Laboratory Corporation of America Holdings Clinical Medical Laboratory 19550 E 39th St S, Suite 100, Independence, MO 64057-2303 2015-02-12
1851706022 Leslie Peirce Registered Nurse 19550 E 39th St S, Suite 100, Independence, MO 64057-2358 2014-06-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174002364 Justine Barye Bolton Physical Therapist 2301 South 291 Highway, Independence, MO 64057 2018-08-09
1194230136 Brantley Vincent Niendick Occupational Therapist 2301 S M 291 Hwy, Independence, MO 64057 2017-12-13
1437693561 Derek Faulkner Counselor 2400 Little Blue Pkwy, Independence, MO 64057 2016-12-08
1578916136 Jared Donald Gerstenkorn Physical Therapist 2301 South Highway 291, Independence, MO 64057 2016-07-19
1295198182 Jennifer J Allen Nurse Practitioner 2310 Castle Drive, Independence, MO 64057 2016-03-30
1750750808 Lisa Louise Freeman Physical Therapy Assistant 3980 S Jackson Dr, Independence, MO 64057 2015-09-18
1437543592 Harold Epps Specialist/Technologist 2301 South Mo 291 Highway, Independence, MO 64057 2015-03-26
1245620426 Holly Morgan Occupational Therapist 3980 S Jackson Dr., Independence, MO 64057 2015-01-27
1093128159 Jennifer Falk Crumbaugh Dentist 3151 S. M-291 Highway, Suite A, Independence Mo, MO 64057 2014-06-06
1952711954 Judy Bray Occupational Therapy Assistant 3980 East Jackson Drive, Independence, MO 64057 2014-04-30
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316316698 Benjamin Murbach Nurse Practitioner 14310 E 42nd St S, Independence, MO 64055-7308 2015-09-17
1417296336 Sarah Turnbull Nurse Practitioner 19550 E 39th St S Ste 105, Independence, MO 64057-1926 2013-02-13
1417201260 Theresa Marie Giersz Nurse Practitioner 4807 Rockside Road, Ste 110, Independence, OH 44131 2012-11-01
1104139781 Katie Murray Nurse Practitioner 19550 East 39th St #210, Independence, MO 65047 2010-07-23
1619968070 Johnna L Bodenstab Nurse Practitioner 17611 East 24 Highway, Suite 200, Independence, MO 64055-1823 2005-11-03
1336140318 Mary Jane Maloney Nurse Practitioner 6100 Rockside Woods Blvd, Suite 425, Independence, OH 44131-2366 2005-08-02
1063413003 Mary E Elchlinger Nurse Practitioner 6100 Rockside Woods Blvd N, Suite 425, Independence, OH 44131-2366 2005-08-01
1881234193 Deidre Lynn Arch Nurse Practitioner 6801 Brecksville Rd Ste 10, Independence, OH 44131-5057 2020-01-14
1962967323 Valerie Davis Nurse Practitioner 510 Peter Pan Rd, Independence, KS 67301-7301 2019-02-09
1407321169 Alejandra De La Rosa Nurse Practitioner 6100 Rockside Woods Blvd N Ste 425, Independence, OH 44131-2340 2018-10-09
Find all providers in INDEPENDENCE

Competitor

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City INDEPENDENCE
Zip Code 64057

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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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