Active NPI
Tammera L Bibbins, LISW
- Clinical Social Worker
- Des Moines, IA
National Provider Identifier
1497810741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 05815
- Practice address
- 1215 Pleasant St Ste 303
Des Moines, IA 50309 - Phone
- (515) 241-4311
- Fax
- (515) 241-4320
- NPI assigned
- Dec 27, 2006
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 05815 | IA | Primary |
Addresses
Primary practice location
1215 Pleasant St Ste 303
Des Moines, IA 50309
Mailing address
1200 Pleasant Street
South 2 Room 236
Des Moines, IA 50309-1406
Phone (515) 241-6228
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grapevine Clinical LLC | Clinical | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/25392/brand/1/csg/1/fhir/r4
Organizations & group practices 1
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.
-
- Clinical Social Worker
- West Des Moines, IA
- NPI 1952837809
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546560000000",
"number": "1497810741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 PLEASANT STREET",
"address_2": "SOUTH 2 ROOM 236",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503091406",
"telephone_number": "515-241-6228",
"fax_number": "515-241-8685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 PLEASANT ST STE 303",
"city": "DES MOINES",
"state": "IA",
"postal_code": "50309",
"telephone_number": "515-241-4311",
"fax_number": "515-241-4320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIBBINS",
"first_name": "TAMMERA",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "LISW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-27",
"last_updated": "2019-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IA",
"license": "05815",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.