Tiba Care PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP8433 Issued in AZ

Legal business name

TIBA CARE PLLC

Practice address

315 W Elliot Rd Ste 107-167
Tempe, AZ 85284-1328

Phone

(623) 226-8105

NPI assigned

Oct 27, 2017

Organization subpart

No

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

Authorized official

Name

Jennifer Gresham, FNP-C

Title

Family Nurse Practitioner

Phone

(623) 226-8105

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1509062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509062400000",
    "number": "1417469669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5810 S 35TH PL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850402844",
            "telephone_number": "314-757-8291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W ELLIOT RD STE 107-167",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852841328",
            "telephone_number": "623-226-8105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIBA CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-27",
        "last_updated": "2017-10-27",
        "status": "A",
        "authorized_official_last_name": "GRESHAM",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "623-226-8105",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP8433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Terry Michael Thorstad, LPC
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• Sandra Mari Thron, MA ED.
• Lilly Ann Mabel Thurlow
• Gregg Tidrick, DNP
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• Joel Edwin Tiffany, DMD
• Tiger Care LLC
• Timothy E Black MD PC

• Family Nurse Practitioner in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2017; 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.