Julie Tibaud

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Practice address

3700 Curry Ford Rd
B8
Orlando, FL 32806-2677

Phone

(407) 779-6708

NPI assigned

Mar 24, 2017

Last updated

Aug 7, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Emilia's Direct Care Agency

  • Developmental Disabilities Clinic/Center
  • Orlando, FL
  • NPI 1710404249
  NPD (past) Authorized official

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

{
    "created_epoch": "1490313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502064000000",
    "number": "1710418322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 CURRY FORD RD",
            "address_2": "B8",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062677",
            "telephone_number": "407-779-6708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 CURRY FORD RD",
            "address_2": "B8",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062677",
            "telephone_number": "407-779-6708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIBAUD",
        "first_name": "JULIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-24",
        "last_updated": "2017-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020485500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheena Thurmond, MSN,APRN,PMHNP-BC
• Thomas Thuruthumalil
• Zachary Thwing, M.D.
• Yuan Tian, APRN
• Narry Tiao, DVM
• Alicia Tibbs, LMT
• Brenna K Tibcken
• Drew Ellen Tibcken
• Jennifer Padilla Tibon, OTR
• Karen Ruth Tice

• Developmental Disabilities Clinic/Center in Orlando, FL
• Providers in Orlando, FL by specialty
• Developmental Disabilities Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2017; 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.