Active NPI
Dwana Tibbs
- Home Health Registered Nurse
- Bunkie, LA
National Provider Identifier
1093324436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- 211294
- Practice address
- 4213 Highway 115
Bunkie, LA 71322-4311 - Phone
- (337) 336-9794
- NPI assigned
- Jul 30, 2020
- Last updated
- Jul 30, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 210538 | LA | |
| Home Health Registered Nurse | 163WH0200X | 211294 | LA | Primary |
Addresses
Primary practice location
4213 Highway 115
Bunkie, LA 71322-4311
Mailing address
4213 Highway 115
Bunkie, LA 71322-4311
Phone (337) 336-9794
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Dtibbs@coordinatedhcs.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 211294 | LA | MD | Home Health Registered Nurse |
| 210538 | LA | MD | Licensed Practical Nurse |
Interoperability endpoints
- dtibbs@coordinatedhcs.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596067200000",
"number": "1093324436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4213 HIGHWAY 115",
"city": "BUNKIE",
"state": "LA",
"postal_code": "713224311",
"telephone_number": "337-336-9794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4213 HIGHWAY 115",
"city": "BUNKIE",
"state": "LA",
"postal_code": "713224311",
"telephone_number": "337-336-9794"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIBBS",
"first_name": "DWANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-30",
"last_updated": "2020-07-30",
"certification_date": "2020-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "LA",
"license": "210538",
"primary": false
},
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "LA",
"license": "211294",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Dtibbs@coordinatedhcs.com",
"affiliation": "N",
"address_1": "4213 Highway 115",
"city": "Bunkie",
"state": "LA",
"country_code": "US",
"postal_code": "713224311",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bunkie, LA
- Sylvia's Social Services (Sylvia's Caring Companions Health Care Services, Inc.)
- Sylvias Caring Companions Health Care Services Inc
- Sylvias Home Medical Supply, Inc
- Carol Thomas, BACHELORS
- Felicia Patrice Thomas
- Megan Lee Ann Trask, PMHNP
- Nora Vallian
- Olivia Vasquez, FNP
- Kristen D Veillon, FNP-C
- Jeannie Waites
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.