Individual provider Active NPI

Tabatha Nicole Timberman

  • Family Nurse Practitioner
  • Richmond, IN
National Provider Identifier
1033780473
Registry record updated Oct 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71012860A Issued in IN
Practice address
1050 Reid Pkwy Ste 130
Richmond, IN 47374-1156
Phone
(765) 935-8943
Fax
(765) 935-8944
NPI assigned
Jul 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.0029149 OH
Family Nurse Practitioner 363LF0000X 71012860A IN Primary

Addresses

Primary practice location

1050 Reid Pkwy Ste 130
Richmond, IN 47374-1156

Mailing address

1100 Reid Parkway
Medical Staff Services
Richmond, IN 47374
Phone (765) 983-3127

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tabatha.timberman@reidhealth.org REID HOSPITAL & HEALTH CARE SERVICES, INC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220809000213 IN Practitioner - Nurse Practitioner 4183006091 Reassigns benefits to 1 organization
I20230503002396 OH Practitioner - Nurse Practitioner 4183006091 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reid Physician Associates IncGroup PAC ID 6406910769, 427 clinicians

Practice addresses (Care Compare)

1050 Reid Pkwy
Richmond, IN 47374-1156

1100 Reid Pkwy
Richmond, IN 47374-1157

1101 Jackson St
Suite a
Greenville, OH 45331-1396
Phone (937) 547-2212

386 Symmes Ctr Dr
Suite 1
Winchester, IN 47394-9402
Phone (765) 589-6600

Hospital & facility affiliations

  • Reid Health Hospital, Richmond, IN, CCN 150048
  • Wayne Hospital Hospital, Greenville, OH, CCN 361335
  • Ascension St Vincent Randolph Hospital, Winchester, IN, CCN 151301
  • Kettering Health Dayton Hospital, Dayton, OH, CCN 360133

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71012860AINMDFamily Nurse Practitioner
APRN.CNP.0029149OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Reid Physician Associates, Inc. CurrentSince Aug 8, 2022 Accepting new patients
Reid Physician Associates, Inc CurrentSince Aug 8, 2022 Accepting new patients

Locations

1100 Reid Pkwy
Richmond, IN 47374
Phone (765) 983-3000

1050 Reid Pkwy
Ste 200
Richmond, IN 47374
Phone (765) 935-8943

1050 Reid Pkwy
Ste 130
Richmond, IN 47374
Phone (765) 935-8943

550 Hallmark Dr
Eaton, OH 45320
Phone (937) 456-1195

1101 Jackson St
Ste A
Greenville, OH 45331
Phone (375) 472-2129

Interoperability endpoints

  • Direct secure messaging: ttimberman301977@reidhealth.direct-ci.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697760000000",
    "number": "1033780473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 REID PARKWAY",
            "address_2": "MEDICAL STAFF SERVICES",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "47374",
            "telephone_number": "765-983-3127",
            "fax_number": "765-983-3219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 REID PKWY STE 130",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741156",
            "telephone_number": "765-935-8943",
            "fax_number": "765-935-8944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMBERMAN",
        "first_name": "TABATHA",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-07",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0029149",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71012860A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tabatha.timberman@reidhealth.org",
            "affiliation": "Y",
            "affiliationName": "REID HOSPITAL & HEALTH CARE SERVICES, INC",
            "address_1": "1100 Reid Pkwy",
            "city": "Richmond",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473741157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Richmond, IN

Sources for this page

Verify at the official NPI Registry.