Kimberly Marie Jibben

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

2359267 Issued in MN

Practice address

724 E Highway 7
Montevideo, MN 56265-1638

Phone

(320) 269-6412

NPI assigned

Oct 20, 2018

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

Practice roles

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.

• Thrifty Drug Stores Inc

  • Community/Retail Pharmacy
  • Wadena, MN
  • NPI 1710678545
  NPD (past)
• Thrifty Drug Stores Inc

  • Community/Retail Pharmacy
  • Montevideo, MN
  • NPI 1881854610
  NPD (past)

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

{
    "created_epoch": "1539993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539993600000",
    "number": "1629544366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 N 4TH ST",
            "city": "MONTEVIDEO",
            "state": "MN",
            "postal_code": "562651002",
            "telephone_number": "320-226-0693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 E HIGHWAY 7",
            "city": "MONTEVIDEO",
            "state": "MN",
            "postal_code": "562651638",
            "telephone_number": "320-269-6412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIBBEN",
        "first_name": "KIMBERLY",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-20",
        "last_updated": "2018-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "2359267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hope Restored TMS PLLC
• Pamela Jean Jacobson, PSY.D., L.P.
• Mary Naomi Jahn, LADC
• Jeffrey B Anderson OD PLLC
• Ashley M Jerve, CNP
• John T. Powers Dental P.C.
• Vanessa Lee Jordahl
• Sunshine Rathbun Kahmann, D.C,
• Kelsey Klosterman, MS ED
• Sidney Knapper

• All providers in Montevideo, MN
• Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2018; 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.