Active NPI
Susan Tibbitts-Hernandez, R.N.
- Case Management Registered Nurse
- Springfield, OR
National Provider Identifier
1396985529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Registered Nurse
- License
- 077039513RN
- Practice address
- 3377 Riverbend Dr
Prenatal Clinic
Springfield, OR 97477-8800 - Phone
- (541) 222-6493
- NPI assigned
- Feb 27, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Registered Nurse | 163WC0400X | 077039513RN | OR | Primary |
Addresses
Primary practice location
3377 Riverbend Dr
Prenatal Clinic
Springfield, OR 97477-8800
Mailing address
PO Box 24410
Eugene, OR 97402-0451
Other practice location 1
4010 Aerial Way
Eugene, OR 97402-9757
Phone (541) 242-8500
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 077039513RN | OR | MD | Case Management Registered Nurse |
Interoperability endpoints
- susan.tibbitshernandez.p2@direct.lanecounty.nextgenshare.com
- susan.tibbitshernandez.p1@direct.lanecounty.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736812800000",
"number": "1396985529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 24410",
"city": "EUGENE",
"state": "OR",
"postal_code": "974020451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3377 RIVERBEND DR",
"address_2": "PRENATAL CLINIC",
"city": "SPRINGFIELD",
"state": "OR",
"postal_code": "974778800",
"telephone_number": "541-222-6493"
}
],
"practiceLocations": [
{
"address_1": "4010 Aerial Way",
"address_purpose": "LOCATION",
"city": "Eugene",
"state": "OR",
"postal_code": "974029757",
"country_code": "US",
"telephone_number": "541-242-8500",
"fax_number": "541-242-8502",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TIBBITTS-HERNANDEZ",
"first_name": "SUSAN",
"credential": "R.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-27",
"last_updated": "2025-01-14",
"certification_date": "2025-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "OR",
"license": "077039513RN",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.