Individual provider Active NPI

Tommalynn Bibby, FNP-C

  • Family Nurse Practitioner
  • Corpus Christi, TX
National Provider Identifier
1770964470
Registry record updated Jun 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP128254 Issued in TX
Practice address
5950 Saratoga Blvd
Corpus Christi, TX 78414-4100
Phone
(361) 985-5811
NPI assigned
Jun 18, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP128254 TX Primary

Addresses

Primary practice location

5950 Saratoga Blvd
Corpus Christi, TX 78414-4100

Mailing address

10 W Bar Le Doc Dr
Corpus Christi, TX 78414-6157

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20150831000121 TX Practitioner - Nurse Practitioner 3678889110 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gulf Coast Emergency Physicians, PLLCGroup PAC ID 6204280480, 108 clinicians
Concord Medical Group of Texas PLLCGroup PAC ID 7810117223, 319 clinicians

Practice addresses (Care Compare)

1311 E Gen Cvazos Blvd
Kingsville, TX 78363-7150
Phone (361) 595-1661

520 E 6TH St
Odessa, TX 79761-4527
Phone (888) 264-0330

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Guadalupe Emergency Medicine Associates, PA CurrentSince Mar 1, 2018 Accepting new patients
Conner Emergency Medicine Associates, PA CurrentSince Feb 15, 2018 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Apr 3, 2025 Accepting new patients
Gulf Coast Emergency Physicians, PLLC CurrentSince Sep 1, 2023 Accepting new patients
Abk Emergency Physicians PLLC Past Accepting new patients

Locations

2500 E Main St
Alice, TX 78332
Phone (361) 664-4376

1500 E Houston St
Beeville, TX 78102
Phone (361) 354-2000

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511

2606 Hospital Blvd
Corpus Christi, TX 78405
Phone (361) 902-4151

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263

1311 Gen Cvazos Blvd
Kingsville, TX 78363
Phone (361) 595-1661

520 E 6th St
Odessa, TX 79761
Phone (432) 332-0929

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434585600000",
    "number": "1770964470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 W BAR LE DOC DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784146157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5950 SARATOGA BLVD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784144100",
            "telephone_number": "361-985-5811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIBBY",
        "first_name": "TOMMALYNN",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-18",
        "last_updated": "2015-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP128254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.