Mary Stibbs

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

306549 Issued in PA

Practice address

6231 Trotter St
Philadelphia, PA 19111-5811

Phone

(215) 821-4523

NPI assigned

Apr 22, 2022

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1650585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650585600000",
    "number": "1497499859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6231 TROTTER ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191115811",
            "telephone_number": "215-821-4523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6231 TROTTER ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191115811",
            "telephone_number": "215-821-4523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIBBS",
        "first_name": "MARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-22",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "PA",
            "license": "306549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa Testa Stewart, CRNP
• Lesasha Stewat
• Michael J Stewrt
• Petrus Steyn, MD
• Lydia Stianchie, PHARM.D.
• Leslie Stickler, MSS, LCSW
• Michael Paul Stickloon, D.C.
• Casandra Renee Stidham, MS, RD, CSR, CCTD
• Alyssa Stiefel, CRNP
• Jessica Ann Stiefel, CRNP

• Licensed Practical Nurse in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Licensed Practical Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; 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.