Ibbie Jeter, FNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

AP132836 Issued in TX

Practice address

4207 S Monroe St
Amarillo, TX 79110-2136

Phone

(806) 433-9384

NPI assigned

Jan 25, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Jackson County Memorial Hospital Authority

  • General Acute Care Hospital
  • Altus, OK
  • NPI 1093763781
  NPD (past)

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

{
    "created_epoch": "1485302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485302400000",
    "number": "1831636034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4207 S MONROE ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791102136",
            "telephone_number": "806-433-9384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4207 S MONROE ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791102136",
            "telephone_number": "806-433-9384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JETER",
        "first_name": "IBBIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-25",
        "last_updated": "2017-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP132836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydnee Elizabeth Jenschke, FNP-C
• Barbara L Jensen, FNP-BC
• Randal D Jentzen, OD
• Elizabeth Kim Jerg, LCSW
• Jessie R. Pruitt Dba Sleep 2 Go
• Frankie Jew, RPH
• Paul Jew, MD
• Bethany Jex
• JG Therapy LLC
• Jim Moore, OD, PC

• Primary Care Nurse Practitioner in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Primary Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.