Tabitha Chu

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

2019010243 Issued in MO

Practice address

304 Teaco Rd
Kennett, MO 63857-3266

Phone

(573) 559-3591

NPI assigned

Oct 2, 2019

Last updated

May 28, 2026By 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 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MO, AR2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

McPherson Medical and Diagnostic LLCGroup PAC ID 5698773539, shared by 11 NPIs, 88 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Great River Medical Center Hospital, Blytheville, AR, CCN 040069

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tchu@yourcarecommunity.org

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.

• McPherson Medical & Diagnostic, LLC

  dba Malden Family Clinic and Diagnostic

  • Clinic/Center
  • Malden, MO
  • NPI 1003407883
  Medicare reassignment NPD
• McPherson Medical & Diagnostic, LLC

  dba Hayti Medical & Diagnostic

  • Clinic/Center
  • Hayti, MO
  • NPI 1073154019

  AR

  Medicare reassignment NPD
• Southeast Missouri Hospital Physicians, LLC

  dba Mercy Clinic Southeast

  • Family Medicine Physician
  • Cape Girardeau, MO
  • NPI 1558311522
  Medicare reassignment NPD
• McPherson Medical & Diagnostic, LLC

  • Family Medicine Physician
  • Kennett, MO
  • NPI 1124679774
  NPD
• McPherson Medical & Diagnostic, LLC

  • Family Medicine Physician
  • Steele, MO
  • NPI 1164440806
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mississippi County Hospital System

  dba Great River Medical Center

  • General Acute Care Hospital
  • Blytheville, AR
  • NPI 1316180748
  Care Compare affiliation

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

{
    "created_epoch": "1569974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1720629561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 TEACO RD",
            "city": "KENNETT",
            "state": "MO",
            "postal_code": "638573266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 TEACO RD",
            "city": "KENNETT",
            "state": "MO",
            "postal_code": "638573266",
            "telephone_number": "573-559-3591"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "223 S 3rd St",
            "address_purpose": "LOCATION",
            "city": "Hayti",
            "state": "MO",
            "postal_code": "638511617",
            "country_code": "US",
            "telephone_number": "573-479-3075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHU",
        "first_name": "TABITHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-02",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AR",
            "license": "124196",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MO",
            "license": "2019010243",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "0042037",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Chastain, LPN
• Danielle Marie Chidister
• Michelle Lynn Chrisman-Sadler
• Kica Christian
• Joshua Chronister
• Stephanie Nicole Chunn
• City of Kennett
• Chelsea Dawn Clark
• Kayla Renay Clark
• Steven Clark

• Acute Care Nurse Practitioner in Kennett, MO
• Providers in Kennett, MO by specialty
• Acute Care Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; 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.

Verify at the official NPI Registry.