Tessa M Tibben, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

4260 Issued in AZ

Practice address

4855 E Brown Rd Ste 100
Mesa, AZ 85205-8007

Phone

(480) 981-5995

NPI assigned

Sep 27, 2008

Last updated

Sep 27, 2008By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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

• Circle the City

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1346588316
  Medicare reassignment
• Circle the City

  dba Circle the City Pharmacy

  • Community/Retail Pharmacy
  • Phoenix, AZ
  • NPI 1144093972
  NPD
• Circle the City

  dba Circle the City Family Health Center - UMOM Campus

  • Federally Qualified Health Center (FQHC)
  • Phoenix, AZ
  • NPI 1447765474
  NPD
• James Baumann, D.O. PC

  • Family Medicine Physician
  • Mesa, AZ
  • NPI 1023357050
  NPD (past)

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

{
    "created_epoch": "1222473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222473600000",
    "number": "1235389156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6147 N GRANITE REEF RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852505868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4855 E BROWN RD STE 100",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852058007",
            "telephone_number": "480-981-5995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIBBEN",
        "first_name": "TESSA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-27",
        "last_updated": "2008-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "4260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thryve Therapy LLC
• Judy Anne Thuenen, OTRL
• Beverly Claire Thurber, OTR
• THVC Services of Az PC
• Jolene Thweatt, FNP
• Teagen Nicole Tibbot
• Rebekah Susan Ticer, COTA/L
• Tan Nhut Tien, PHARMACIST
• Kathryn Tiffany
• Tatum Tignor

• Medical Physician Assistant in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Medical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.