MERON TIBEBU (NPI# 1073065215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073065215 |
| Entity Type | Individual |
| Full Name | MERON TIBEBU |
| Credential | APRN |
| Practice Address |
8800 Blue Ridge Blvd Kansas City MO 64138 |
| Mailing Address |
8800 Blue Ridge Blvd Kansas City MO 64138-4000 |
| Practice Telephone | 8169660903 |
| Mailing Telephone | 8169660903 |
| Enumeration Date | 2016-11-03 |
| Last Update Date | 2018-05-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
2018010094 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
8800 BLUE RIDGE BLVD |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750484242 | Danielle Lynn Skirchak | Psychiatry & Neurology | 8800 Blue Ridge Blvd, Suite 100, Kansas City, MO 64138-4000 | 2006-09-07 |
| 1376143362 | Randi Powers | Registered Nurse | 8800 Blue Ridge Blvd, Kansas City, MO 64138-4000 | 2020-10-28 |
| 1194367219 | Scholastica Ngozi Chidume | Nurse Practitioner | 8800 Blue Ridge Blvd, Kansas City, MO 64138-4000 | 2019-10-09 |
| 1407315625 | Lauren Spartz | Counselor | 8800 Blue Ridge Blvd, Kansas City, MO 64138-4000 | 2019-03-18 |
| 1053823682 | Cassandra R Fager | Registered Nurse | 8800 Blue Ridge Blvd, Kansas City, MO 64138-4000 | 2017-11-05 |
| 1508315870 | Judith A Conyers | Registered Nurse | 8800 Blue Ridge Blvd, Suite 100, Kansas City, MO 64138-4000 | 2016-09-28 |
| 1568817518 | Ashley Marie Birkhead | Counselor | 8800 Blue Ridge Blvd, Kansas City, MO 64138-4000 | 2016-04-27 |
| 1154796217 | Swope Health Services | Clinic/Center | 8800 Blue Ridge Blvd, Suite 208, Kansas City, MO 64138-4000 | 2015-12-01 |
| 1659749414 | Rediscover | Clinic/Center | 8800 Blue Ridge Blvd, Kansas City, MO 64138 | 2015-09-10 |
| 1982048344 | Kris A Koppy | Counselor | 8800 Blue Ridge Blvd, Suite 100, Kansas City, MO 64138-4000 | 2013-04-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780178160 | Rachel Katherine Volmert | Social Worker | 8800 Blueridge, Kansas City, MO 64138 | 2018-06-19 |
| 1184167876 | Cerner Health Connections Inc | Pharmacy | 8779 Hillcrest, Building 1024.1, Kansas City, MO 64138 | 2016-11-29 |
| 1255777280 | Se Jin Oh | Dentist | 10803 Missouri 350, Raytown, MO 64138 | 2013-05-16 |
| 1902167067 | Support Professionals II | Community Based Residential Treatment Facility, Mental Illness | 8540 Blue Ridge, Kansas City, MO 64138 | 2012-06-06 |
| 1891003927 | Marriah Smith | Adult Companion | 4705 E 109th Terr, Kansas City, MO 64138 | 2010-09-23 |
| 1437467230 | Bos Transportation LLC | Non-emergency Medical Transport (VAN) | 9405 White Ave, Kansas City, MO 64138 | 2010-09-15 |
| 1598935710 | Alex Heydar Motaref Dmd PC | Dentist | 6406 E 87th Street, Suite 101, Kansas City, MO 64138 | 2008-03-04 |
| 1063602456 | Lorenzo T. Hughes Sr. | Massage Therapist | 8908 E. 89th Street, Kansas City, MO 64138 | 2007-07-31 |
| 1225237993 | Individual Expressions, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3817 Woodson Drive, Raytown, MO 64138 | 2007-07-13 |
| 1285850701 | Alex Heydar Motaref | Dentist | 6406 E 87th St, Suite 101, Kansas City, MO 64138 | 2007-04-17 |
| Find all providers in zip 64138 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386273217 | Andrea Morrow Wright | Nurse Practitioner | 8833 N Congress Ave Apt 813, Kansas City, MO 64153-1991 | 2020-04-03 |
| 1700413580 | Solange-belle Boma | Nurse Practitioner | 6326 Ne 44th St, Kansas City, MO 64117-1687 | 2020-03-24 |
| 1427393743 | Laura Aboud | Nurse Practitioner | 2659 Peery Ave, Kansas City, MO 64127-1300 | 2012-11-28 |
| 1558970988 | John Tucker | Nurse Practitioner | 1000 E 24th St, Kansas City, MO 64108-2776 | 2020-07-31 |
| 1740809755 | Priscilla E Atu-tetuh | Nurse Practitioner | 300 W 19th Ter, Kansas City, MO 64108-2026 | 2020-04-09 |
| 1255965000 | Sean Alan Wiest | Nurse Practitioner | 1106 E 30th St Ste B, Kansas City, MO 64109-1507 | 2020-03-02 |
| 1194367219 | Scholastica Ngozi Chidume | Nurse Practitioner | 8800 Blue Ridge Blvd, Kansas City, MO 64138-4000 | 2019-10-09 |
| 1013483031 | Elizabeth Blanchard Hills | Nurse Practitioner | 825 Euclid Ave, Kansas City, MO 64124-2323 | 2018-10-17 |
| 1437646650 | Molly Chika Oligbo | Nurse Practitioner | 3801 Blue Pkwy, Kansas City, MO 64130-2807 | 2018-04-13 |
| 1881197986 | Tricia Lea Felin | Nurse Practitioner | 4300 Brenner Dr, Kansas City, KS 66104-1163 | 2018-03-14 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64138 |
Please comment or provide details below to improve the information on MERON TIBEBU.
| 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.