Ilene Hibbert

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

093003236RN Issued in OR

Practice address

7668 SW Mohawk St
Tualatin, OR 97062-8119

Phone

(503) 885-5110

Fax

(866) 350-1311

NPI assigned

Apr 9, 2014

Sex

Female

Sole proprietor

Yes

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.

• Aps Healthcare

  • Case Management Agency
  • Tualatin, OR
  • NPI 1790170942
  NPD (past)

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

{
    "created_epoch": "1397001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397001600000",
    "number": "1922427657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7668 SW MOHAWK ST",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970628119",
            "telephone_number": "503-885-5110",
            "fax_number": "866-350-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7668 SW MOHAWK ST",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970628119",
            "telephone_number": "503-885-5110",
            "fax_number": "866-350-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIBBERT",
        "first_name": "ILENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-09",
        "last_updated": "2014-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "OR",
            "license": "093003236RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesse Herman, DO
• Mireya J Hernandez, RBAI
• Robert D Heros, M.D.
• Lysette Herrera, LMHC, LPC
• Charity G Hess, D.C.
• Piper Elise Hilgaertner, RBAI
• Hill-Rom Company Inc
• Dani Himes, CSWA, MSW
• Trevor Sterling Hodson, MD
• Christopher J Hoekstra, PHYSICAL THERAPIST

• Health Maintenance Organization in Tualatin, OR
• Providers in Tualatin, OR by specialty
• Health Maintenance Organization in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2014; 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.