RENEE K HIBMA (NPI# 1710918883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710918883 |
| Entity Type | Individual |
| Full Name | RENEE K HIBMA |
| Credential | NP |
| Practice Address |
5498 109th Ave Pullman MI 49450 |
| Mailing Address |
50 Industrial Park Dr Bangor MI 49013 |
| Practice Telephone | 2692365021 |
| Practice Fax Number | 2692365411 |
| Mailing Telephone | 2694277937 |
| Mailing Fax Number | 2694275180 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 4704183457 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5498 109TH AVE |
| City | PULLMAN |
| State | MI |
| Zip Code | 49450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205349990 | Intercare Community Health Network | Psychologist | 5498 109th Ave, Pullman, MI 49450-9631 | 2017-11-16 |
| 1184030736 | Alejandra Kovac | Physician Assistant | 5498 109th Ave, Pullman, MI 49450-9631 | 2014-07-03 |
| 1184963639 | Carol Ann Mcbratnie | Nurse Practitioner | 5498 109th Ave, Pullman, MI 49450-9631 | 2013-02-04 |
| 1225334063 | Intercare Community Health Network | Clinic/Center | 5498 109th Ave, Pullman, MI 49450-9631 | 2011-01-26 |
| 1457361677 | Intercare Community Health Network | Clinic/Center | 5498 109th Ave, Pullman, MI 49450 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871529040 | Dean Alcorn | Dental Hygienist | 5498 109th Avenue, Pullman, MI 49450 | 2006-06-22 |
| 1134156029 | Kenneth Hite | Physician Assistant | 5498 109th Avenue, Pullman, MI 49450 | 2006-06-27 |
| 1831316306 | William T Parks IIi | Dentist | 5498 109th Avenue, Pullman, MI 49450-9631 | 2007-04-19 |
| 1174922439 | Teresa Marin | Rehabilitation Practitioner | 825 56th St, Pullman, MI 49450-9738 | 2014-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265049902 | Erin L Rose | Specialist/Technologist | 510 Nw Larry St, Pullman, WA 99163-3584 | 2020-09-27 |
| 1164039079 | Jalyn Rutledge | Specialist/Technologist | Bohler Athletic Complex Cougar Way - Wsu, Pullman, WA 99164-0001 | 2020-09-24 |
| 1851902605 | Northwest Clinical Services | Family Medicine | 825 Se Bishop Blvd Ste 301c, Pullman, WA 99163-5517 | 2020-08-14 |
| 1154949733 | Washington State University | Clinical Medical Laboratory | Bustad Hall Room 155n, Pullman, WA 99164-0001 | 2020-07-09 |
| 1669097127 | Dawnmd LLC | Family Medicine | 540 E Main St Ste A, Pullman, WA 99163-2660 | 2020-06-10 |
| 1801418504 | Savannah Horning | Specialist/Technologist | Bohler Athletic Complex Room M4, Pullman, WA 99164-0001 | 2020-05-15 |
| 1003445255 | Jennifer Beattie | Specialist/Technologist | 1360 Cougar Way, Pullman, WA 99163 | 2020-04-08 |
| 1114555133 | Lilly Paige Walker | Physical Medicine & Rehabilitation | 1624 Ne Cougar Way, Perham 126, Pullman, WA 99163-9916 | 2020-03-27 |
| 1689200099 | Tyler David Sykes | Dentist | 650 Se Bishop Blvd Ste 200, Pullman, WA 99163-5966 | 2020-03-17 |
| 1922632967 | Carlie Jean Lubbesmeyer | Specialist/Technologist | 1815 Wilson Road, Pullman, WA 99163-9916 | 2020-02-28 |
| Find all providers in PULLMAN | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649785312 | Heather P. Morrow | Nurse Practitioner | 825 Se Bishop Blvd Ste 601, Pullman, WA 99163-5517 | 2017-12-04 |
| 1134596455 | Cynthia Louise Anderson | Nurse Practitioner | 1125 Se Washington St, Pullman, WA 99164-5022 | 2015-08-24 |
| 1801954003 | Nancy Gregory | Nurse Practitioner | 825 Se Bishop Blvd, Suite 200, Pullman, WA 99163-5517 | 2006-12-04 |
| 1962560169 | Judith Aaron Turner | Nurse Practitioner | 1125 Se Washington, Pullman, WA 99164-2302 | 2006-12-04 |
| 1669450029 | Catherine A Fitzpatrick | Nurse Practitioner | 915 Ne Valley Rd, Pullman, WA 99163 | 2006-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154599 | Kelly Phuong Doan | Nurse Practitioner | 27327 23 Mile Rd, Chesterfield, MI 48051-2045 | 2020-11-04 |
| 1275133217 | Maureen Mae Lewis | Nurse Practitioner | 2782 N Coleman Rd, Coleman, MI 48618-9721 | 2020-10-29 |
| 1073113460 | Taylor L Pichette | Nurse Practitioner | 758 Lucille Dr, Wolverine Lake, MI 48390-2327 | 2020-10-27 |
| 1295333938 | Amanda Covell | Nurse Practitioner | 624 Cherry St Se Apt 5, Grand Rapids, MI 49503-4778 | 2020-10-14 |
| 1689271314 | Nicole Conklin | Nurse Practitioner | 524 Doyle Rd, Laingsburg, MI 48848-9611 | 2020-10-06 |
| 1447857677 | Shelby Lynn Waibel | Nurse Practitioner | 560 W Mitchell St Ste 210, Petoskey, MI 49770-2276 | 2020-10-01 |
| 1497361638 | Amira Aljamal | Nurse Practitioner | 4601 Shenandoah Ave, Allen Park, MI 48101-3131 | 2020-09-22 |
| 1659987014 | Sean Thomas Kane | Nurse Practitioner | 13734 Parallel Ave, Alpena, MI 49707-7987 | 2020-09-21 |
| 1235743592 | Mojica, LLC | Nurse Practitioner | 4163 W Pointe Dr, Waterford, MI 48329-4648 | 2020-09-03 |
| 1942812094 | Meagan James | Nurse Practitioner | 407 E Huron River Dr, Belleville, MI 48111-2763 | 2020-08-20 |
| Find all providers with the same taxonomy | ||||
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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.