Active NPI
Mona Bibb, CTT
- Other Technician
- Juneau, AK
National Provider Identifier
1639614530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- License
- 974034
- Practice address
- 319 Seward St Ste 6
Juneau, AK 99801-1173 - Phone
- (907) 500-7346
- NPI assigned
- Dec 31, 2016
- 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 |
|---|---|---|---|---|
| Other Technician | 247200000X | 974034 | AK | Primary |
Addresses
Primary practice location
319 Seward St Ste 6
Juneau, AK 99801-1173
Mailing address
319 Seward St Ste 6
Juneau, AK 99801-1173
Phone (907) 500-7346
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 |
|---|---|---|---|
| 974034 | AK | MD | Other Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483142400000",
"number": "1639614530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "319 SEWARD ST STE 6",
"city": "JUNEAU",
"state": "AK",
"postal_code": "998011173",
"telephone_number": "907-500-7346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "319 SEWARD ST STE 6",
"city": "JUNEAU",
"state": "AK",
"postal_code": "998011173",
"telephone_number": "907-500-7346"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIBB",
"first_name": "MONA",
"credential": "CTT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-12-31",
"last_updated": "2016-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "AK",
"license": "974034",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Juneau, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.