Courtney O'Connell Tibbetts

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN11005327 Issued in FL

Practice address

7901 4TH St N Ste 300
St Petersburg, FL 33702-4399

Phone

(813) 298-9305

NPI assigned

Jan 8, 2020

Sex

Female

Sole proprietor

No

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 FL

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22512/brand/1/csg/1/fhir/r4

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.

• Sunnyside Wellness

  • Psychiatric/Mental Health Nurse Practitioner
  • St Petersburg, FL
  • NPI 1063286813
  Medicare reassignment Authorized official
• Advocate Health Partners, LLC

  • Pain Clinic/Center
  • Palm Harbor, FL
  • NPI 1699388843
  NPD
• Dunedin Pediatrics LLC

  • Pediatrics Physician
  • Dunedin, FL
  • NPI 1457761603
  NPD (past)
• James a. Diienno, D.C., P.a.

  dba Romeo Chiropractic Center

  • Chiropractor
  • Dunedin, FL
  • NPI 1669474367
  NPD (past)
• Regenerative Health Centers LLC

  • Family Medicine Physician
  • Sun City Center, FL
  • NPI 1437775707
  NPD (past)

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

{
    "created_epoch": "1578441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1740820653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 4TH ST N STE 300",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337024399",
            "telephone_number": "813-298-9305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 4TH ST N STE 300",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337024399",
            "telephone_number": "813-298-9305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIBBETTS",
        "first_name": "COURTNEY",
        "middle_name": "O'CONNELL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-08",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11005327",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ME",
            "license": "CNP251277",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11005327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Through the Woods Therapy PLLC (xxx-xx-xxxx)
• Jose M Thrush -Sanchez, CRNA
• Thryve Medical
• Charmalyn Robinson Thurman, PHARMD
• James E Thurman Jr., C.S.B.
• Catherine Anne Tiehaara, CRNA
• Jessica Lee Tieman, RN
• Mallory Tiffany, LMHC, LPC
• Sydney Tiiman
• Tikvah Counseling, LLC

• Psychiatric/Mental Health Nurse Practitioner in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.