Active NPI
Carol W Tibbits, ARNP
- Occupational Health Registered Nurse
- Boca Raton, FL
National Provider Identifier
1891938320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Health Registered Nurse
- License
- 1204802
- Practice address
- 6401 Congress Ave
Suite 250
Boca Raton, FL 33487-2843 - Phone
- (561) 314-0569
- Fax
- (800) 648-5634
- NPI assigned
- Apr 14, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Health Registered Nurse | 163WX0106X | 1204802 | FL | Primary |
Addresses
Primary practice location
6401 Congress Ave
Suite 250
Boca Raton, FL 33487-2843
Mailing address
6401 Congress Ave
Suite 250
Boca Raton, FL 33487-2843
Phone (561) 314-0569
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1204802 | FL | MD | Occupational Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239667200000",
"number": "1891938320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6401 CONGRESS AVE",
"address_2": "SUITE 250",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334872843",
"telephone_number": "561-314-0569",
"fax_number": "800-648-5634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6401 CONGRESS AVE",
"address_2": "SUITE 250",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334872843",
"telephone_number": "561-314-0569",
"fax_number": "800-648-5634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIBBITS",
"first_name": "CAROL",
"middle_name": "W",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-14",
"last_updated": "2009-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "163WX0106X",
"taxonomy_group": "",
"desc": "Registered Nurse, Occupational Health",
"state": "FL",
"license": "1204802",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.