KATE TUCKER TIBBS


Address: 2342 Colony Crossing Place, Midlothian, VA 23221
Phone: 8044177019

KATE TUCKER TIBBS (NPI# 1497091938) 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) 1497091938
Entity Type Individual
Full Name KATE TUCKER TIBBS
Credential PMH-NP
Practice Address 2342 Colony Crossing Place
Midlothian
VA 23221
Practice Telephone 8044177019
Mailing Telephone 8044177019
Enumeration Date 2013-01-02
Last Update Date 2013-01-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
0024170529 VA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2342 COLONY CROSSING PLACE
City MIDLOTHIAN
State VA
Zip Code 23221

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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City MIDLOTHIAN
Zip Code 23221

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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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