Active NPI
Catherine Hibbert
- School Registered Nurse
- Beavercreek, OH
National Provider Identifier
1629440680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- RN212209
- Practice address
- 3601 Jonathon Dr
Beavercreek, OH 45434-5957 - Phone
- (937) 458-2580
- Fax
- (937) 429-7691
- NPI assigned
- Oct 29, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | RN212209 | OH | Primary |
Addresses
Primary practice location
3601 Jonathon Dr
Beavercreek, OH 45434-5957
Mailing address
3601 Jonathon Dr
Beavercreek, OH 45434-5957
Phone (937) 458-2580
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN212209 | OH | MD | School Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446076800000",
"number": "1629440680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3601 JONATHON DR",
"city": "BEAVERCREEK",
"state": "OH",
"postal_code": "454345957",
"telephone_number": "937-458-2580",
"fax_number": "937-429-7691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 JONATHON DR",
"city": "BEAVERCREEK",
"state": "OH",
"postal_code": "454345957",
"telephone_number": "937-458-2580",
"fax_number": "937-429-7691"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIBBERT",
"first_name": "CATHERINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-29",
"last_updated": "2015-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "OH",
"license": "RN212209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beavercreek, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.