Tamaria Hibbler, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2601001384 Issued in MI

Practice address

771 Chestnut Rd
East Lansing, MI 48824-3434

Phone

(517) 353-1655

NPI assigned

Nov 16, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Tamaria Hollis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Michigan State University

  • Local Education Agency (LEA)
  • East Lansing, MI
  • NPI 1184182982
  NPD (past)

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

{
    "created_epoch": "1479254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592179200000",
    "number": "1225570641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "771 CHESTNUT RD",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488243434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "771 CHESTNUT RD",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488243434",
            "telephone_number": "517-353-1655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIBBLER",
        "first_name": "TAMARIA",
        "name_prefix": "Mrs.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-16",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MI",
            "license": "2601001384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMARIA",
            "last_name": "HOLLIS",
            "prefix": "MS.",
            "credential": "ATC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robert A Hershey, DDS
• Jamara Hester
• Kimberlee Marie Hetherington, OTR/L
• Tiffany Heutel, M.D.
• Tadd Kaeo Hiatt, MD
• Kelsie Hicks
• Rachel Hicks
• Eman Hijab, MD
• Samantha Hiler
• Dorletha M Hill, CRNA

• Athletic Trainer in East Lansing, MI
• Providers in East Lansing, MI by specialty
• Athletic Trainer in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.

Verify at the official NPI Registry.