AMY LEIGH HIBBARD (NPI# 1093130635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093130635 |
Entity Type | Individual |
Full Name | AMY LEIGH HIBBARD |
Other Name | AMY L PRENTISS |
Credential | NP |
Practice Address |
1500 East Medical Center Drive 2nd Floor Taubman Center Recp F Ann Arbor MI 48109-5332 |
Mailing Address |
3621 South State Street 700 Kms Place Ann Arbor MI 48108 |
Practice Telephone | 7349365738 |
Mailing Telephone | 7349362047 |
Enumeration Date | 2014-02-19 |
Last Update Date | 2017-03-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 4704263923 | MI | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
4704263923 | MI | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205364478 | Amy Lynn Hibbard | Pharmacist | 1425 Malabar Rd Ne, Palm Bay, FL 32907-2506 | 2017-05-31 |
Street Address |
1500 EAST MEDICAL CENTER DRIVE 2ND FLOOR TAUBMAN CENTER RECP F |
City | ANN ARBOR |
State | MI |
Zip Code | 48109-5332 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447256912 | Keow Mei Goh | Urology | 1500 East Medical Center Drive, 2nd Floor Taubman Center Recp C, Ann Arbor, MI 48109-5330 | 2005-06-21 |
1407479116 | Juan Paulo Noda | Student in an Organized Health Care Education/Training Program | 1500 East Medical Center Drive, 2920 Taubman Center, Spc 5331, Ann Arbor, MI 48109-5331 | 2020-05-28 |
1619534658 | Matthew Frank Grzywinski | Student in an Organized Health Care Education/Training Program | 1500 East Medical Center Drive, B1-380 Taubman Center, Ann Arbor, MI 48109 | 2019-05-24 |
1295392439 | Vikas Shahi | Student in an Organized Health Care Education/Training Program | 1500 East Medical Center Drive, B1-380 Taubman Center, Ann Arbor, MI 48109 | 2019-05-23 |
1043877285 | Jia Liu | Student in an Organized Health Care Education/Training Program | 1500 East Medical Center Drive, B1-380 Taubman Center, Ann Arbor, MI 48109 | 2019-05-23 |
1689231821 | Maxwell Donovan Raithel | Student in an Organized Health Care Education/Training Program | 1500 East Medical Center Drive, B1-380 Taubman Center, Ann Arbor, MI 48109 | 2019-05-23 |
1104483346 | William Jeffrey Sturdavant | Student in an Organized Health Care Education/Training Program | 1500 East Medical Center Drive, B1-380 Taubman Center, Ann Arbor, MI 48109 | 2019-05-23 |
1780241927 | Michael Ian Hovenden | Student in an Organized Health Care Education/Training Program | 1500 East Medical Center Drive, B1-380 Taubman Center, Ann Arbor, MI 48109 | 2019-05-23 |
1407413644 | Adam Izzat Kadri | Student in an Organized Health Care Education/Training Program | 1500 East Medical Center Drive, B1-380 Taubman Center, Ann Arbor, MI 48109 | 2019-05-23 |
1760049902 | Natalja Patricia Rosculet | Student in an Organized Health Care Education/Training Program | 1500 East Medical Center Drive, B1-380 Taubman Center, Ann Arbor, MI 48109 | 2019-05-23 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558987024 | Albert Byun | Student in an Organized Health Care Education/Training Program | 1500 E.medical Center Dr., 1h247, Ann Arbor, MI 48109 | 2020-06-22 |
1851914931 | Nadine Ibrahim | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Drive, Spc 5312, Taubman Center, 1st Floor, Room 1903, Ann Arbor, MI 48109 | 2020-05-22 |
1568083350 | Tucker Zimmer | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Dr, Uh South F-6245, Ann Arbor, MI 48109 | 2020-05-03 |
1144841099 | Jessica Moore Meves | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, Uh South F-6245, Ann Arbor, MI 48109 | 2020-05-01 |
1710522297 | Xiaoyuan Hu | Specialist/Technologist | Obl 2150, 1402 Washington Hts, Ann Arbor, MI 48109 | 2019-11-08 |
1376192401 | Regina Kay Freeman | Clinical Nurse Specialist | 4726 Cardiovascular Center, 1500 E Medical Center Dr, Ann Arbor, MI 48109 | 2019-09-11 |
1477114155 | William Philip Saunders IIi | Student in an Organized Health Care Education/Training Program | 300 N Ingalls Building, Rm Ni4co6, Ann Arbor, MI 48109 | 2019-06-24 |
1093290447 | Teresa H Lyden | Speech-Language Pathologist | 1500 E. Medical Center Dr., Spc 5312, 1904 Tc, Otolaryngology-head and Neck Surgery, Ann Arbor, MI 48109 | 2018-10-02 |
1649755091 | Anna Grace Hardenbergh | Speech-Language Pathologist | 1500 E. Medical Center Drive Tc 1904, Otolaryngology Head and Neck Surgery, Ann Arbor, MI 48109 | 2018-10-02 |
1548754609 | Amy Wu | Pediatrics | 1500 East Medical Center Drive., Medical Professional Bldg. D-3238, Ann Arbor, MI 48109 | 2018-06-21 |
Find all providers in zip 48109 |
Taxonomy Code | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588289144 | Anne Elizabeth Stephan | Nurse Practitioner | 1320 Addington Ln, Ann Arbor, MI 48108-8951 | 2020-06-10 |
1003136060 | Paige Christine Ledlow | Nurse Practitioner | 3214 Alpine Dr, Ann Arbor, MI 48108-1766 | 2010-06-01 |
1174529127 | Paula Tuohy Miska | Nurse Practitioner | 24 Frank Lloyd Wright Dr, Ann Arbor, MI 48109 | 2005-06-23 |
1437775319 | Jennifer Marie Lilley | Nurse Practitioner | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2020-06-17 |
1679031660 | Antanita Pickett | Nurse Practitioner | 2215 Fuller Rd, Ann Arbor, MI 48105 | 2019-03-08 |
1952879967 | Candace Nicole Lim | Nurse Practitioner | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2018-11-07 |
1992287569 | Jessica Katherine Pazur | Nurse Practitioner | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2018-08-30 |
1982190286 | Justin Lloyd Hines | Nurse Practitioner | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2018-07-10 |
1215430764 | Ram Choudhary | Nurse Practitioner | 4701 E Huron River Dr, Ann Arbor, MI 48105-9335 | 2018-03-12 |
1912452657 | Lisa Caroline Anderson | Nurse Practitioner | 1500 East Medical Center Dr, Ann Arbor, MI 48109-5256 | 2016-08-23 |
Find all providers in ANN ARBOR |
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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.