Active NPI
Tabitha Dawn Hofer, CNP
- Nurse Practitioner
- Galion, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- CNP.024660
- Practice address
- 270 Portland Way S
Galion, OH 44833-2362 - Phone
- (419) 462-4656
- NPI assigned
- May 14, 2019
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | CNP.024660 | OH | Primary |
Addresses
Primary practice location
270 Portland Way S
Galion, OH 44833-2362
Mailing address
700 N Columbus St
Crestline, OH 44827-1455
Phone (419) 462-3485
Other practice location 1
600 Richland Mall
Ontario, OH 44906-1246
Phone (419) 462-4656
Other names 1
- Tabitha Hendrickson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2981 W 4TH St
Ontario, OH 44906-1267
Phone (419) 468-0505
600 Richland Mall
Ontario, OH 44906-1246
Phone (419) 468-0505
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNP.024660 | OH | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohiohealth Corporation | Current | Accepting new patients | |
| Ohiohealth Corporation | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
Dept L3652
Columbus, OH 43260
393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108
5450 Frantz Rd
Ste 360
Dublin, OH 43016
Phone (614) 533-6497
270 Portland Way S
Galion, OH 44833
Phone (419) 468-7613
335 Glessner Ave
Mansfield, OH 44903
Phone (419) 522-0320
24 Morris Rd
Ste 2
Shelby, OH 44875
Phone (419) 289-1774
Interoperability endpoints
- thofer1135112@direct.osumc.edu
Organizations & group practices 4
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.
-
- Specialist
- Galion, OH
- NPI 1689822827
-
dba OhioHealth Physician Group, Inc
- Family Medicine Physician
- Columbus, OH
- NPI 1578545273
-
dba OhioHealth Physician Group Inc
- Anesthesiology Physician
- Columbus, OH
- NPI 1407292105
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ontario, OH
- NPI 1790131050
-
dba Bucyrus Community Hospital
- Critical Access Hospital
- Bucyrus, OH
- NPI 1104914274
-
dba GCH Health Services
- Critical Access Hospital
- Galion, OH
- NPI 1215907522
-
- Critical Access Hospital
- Upper Sandusky, OH
- NPI 1477554475
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695254400000",
"number": "1518523695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 N COLUMBUS ST",
"city": "CRESTLINE",
"state": "OH",
"postal_code": "448271455",
"telephone_number": "419-462-3485",
"fax_number": "419-462-4582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "270 PORTLAND WAY S",
"city": "GALION",
"state": "OH",
"postal_code": "448332362",
"telephone_number": "419-462-4656"
}
],
"practiceLocations": [
{
"address_1": "600 Richland Mall",
"address_purpose": "LOCATION",
"city": "Ontario",
"state": "OH",
"postal_code": "449061246",
"country_code": "US",
"telephone_number": "419-462-4656",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOFER",
"first_name": "TABITHA",
"middle_name": "DAWN",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-14",
"last_updated": "2023-09-21",
"certification_date": "2023-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "CNP.024660",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TABITHA",
"last_name": "HENDRICKSON",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Galion, OH
- Debra Kay Hess, OWNER OF BUSINESS
- Ashley Nicole Hickman, LPCC, NCC
- Randall R Hieber, O.D.
- Tiffany Hill
- Stephen Duane Hobson, CNP
- Home Care Connection, Inc. (Home Care Connection)
- Homecare Matters Home Health (Avita Home Health and Hospice)
- Luke Joseph Hoyda, RPH, PHARMD
- Dennis Hudnell, LICDC-CS
- Tyler K Huggins, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.