Jodi K Tebbe, APRN-CNS

Primary specialty

Gerontology Clinical Nurse SpecialistTaxonomy code 364SG0600X

License

APRN.CNS.019382 Issued in OH

Practice address

801 Pro Dr Ste a
Celina, OH 45822-3301

Phone

(419) 586-3113

NPI assigned

Jul 10, 2018

Last updated

Aug 26, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist

State licenses

Interoperability endpoints

• Direct secure messaging: jotte656901@direct.osumc.edu

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

{
    "created_epoch": "1531180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1790271088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6265 DIRKSEN RD",
            "city": "MARIA STEIN",
            "state": "OH",
            "postal_code": "458609775",
            "telephone_number": "419-953-7351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 PRO DR STE A",
            "city": "CELINA",
            "state": "OH",
            "postal_code": "458223301",
            "telephone_number": "419-586-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEBBE",
        "first_name": "JODI",
        "middle_name": "K",
        "credential": "APRN-CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-10",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "OH",
            "license": "APRN.CNS.019382",
            "primary": false
        },
        {
            "code": "364SG0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Gerontology",
            "state": "OH",
            "license": "APRN.CNS.019382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Superior Home Healthcare, LLC
• Carly Swaja
• Micaela C Swiger
• Frank D Tangeman, O.D.
• Connie Tebbe
• Shonda Terrazas, FNP-C
• Thanagaraj Amaran, M.D., Inc.
• Savannah K Thees
• Theodore J Willmann DDS Inc
• Alison Jean Thresher, M.D.

• Gerontology Clinical Nurse Specialist in Celina, OH
• Providers in Celina, OH by specialty
• Gerontology Clinical Nurse Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; 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.