NPIMap

Individual provider Active NPI

Steven Tibbles

  • Driver
  • Boca Raton, FL
National Provider Identifier
1902334964
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
License
T142-796-93-122-0 Issued in FL
Practice address
1112 SW 13TH St
Boca Raton, FL 33486-5406
Phone
(561) 475-8163
NPI assigned
Jun 2, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X T142-796-93-122-0 FL Primary

Addresses

Primary practice location

1112 SW 13TH St
Boca Raton, FL 33486-5406

Mailing address

1112 SW 13TH St
Boca Raton, FL 33486-5406
Phone (561) 475-8163

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

Practice roles

OrganizationSpecialtyStatusNew patients
Caring and Secure Transport LLC CurrentSince Nov 20, 2022 Accepting new patients
Secure Behavioral Transport LLC CurrentSince Nov 20, 2022 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1496361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1902334964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 SW 13TH ST",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334865406",
            "telephone_number": "561-475-8163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 SW 13TH ST",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334865406",
            "telephone_number": "561-475-8163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIBBLES",
        "first_name": "STEVEN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-02",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "FL",
            "license": "T142-796-93-122-0",
            "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 Nov 17, 2022; 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.